Procedural Training in Acute Care - A Prospective Study of Learning Intubation Highlighting a Novel Method

Q: How were participants grouped in the study?

Participants were stratified by self-reported experience into novice, intermediate, and advanced skill levels.

Q: What was the primary outcome measure?

The primary outcome was the time required to inflate the manikin’s lungs using a bag ventilator after intubation.

Q: Which device approach performed best on the difficult airway?

Among novices and intermediates on the difficult airway, the novel laryngoscope combined with a gum elastic bougie produced faster intubation times than the Macintosh blade with a gum elastic bougie.

Sep 29, 2026

Uploaded by CatatanPagi

Prospective study evaluating procedural training for acute care intubation, focusing on learning performance across skill levels and airway difficulty. Participants were stratified into novice, intermediate, and advanced groups and performed intubation on easy and difficult manikin models using four devices. The primary measure was time to ventilate the manikin lungs with a bag ventilator. Results showed faster intubation with a novel laryngoscope using a gum elastic bougie versus Macintosh with a gum elastic bougie in novices and intermediates, while bougie-based methods increased time in other comparisons. Seldinger technique training was emphasized as an important reliability skill for endotracheal intubation.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Introduction

Methods

Results

Conclusions

Keywords

Wiley Emergency Medicine International Volume 2026, Article ID 9940852, 10 pages [https://doi.org/10.1155/emmi/9940852](https://doi.org/10.1155/emmi/9940852) Research Article Procedural Training in Acute Care: A Prospective Study of Learning Intubation Highlighting a Novel Method Austin Milton , 1 Rusha Patel ,2 Lurdes Queimado,2 Price Sonkarley,2 Edward Kosik,3 Marvin Williams,4 Michael Anderson,5 Alexis Patsias,2 Michael Clampitt,2 Rachel Hardy,6 and Nilesh R. Vasan2 1 Department of Internal Medicine, University of Utah Health, Salt Lake City, Utah, USA 2 Department of Otolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 3 Department of Anesthesiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 4 Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 5 Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 6 College of Osteopathic Medicine, Oklahoma State University, Tulsa, Oklahoma, USA Correspondence should be addressed to Rusha Patel; [rusha-patel@ouhsc.edu](rusha-patel@ouhsc.edu) Received 18 January 2025; Revised 31 October 2025; Accepted 7 November 2025 Academic Editor: Maria Fortofoiu Copyright © 2026 Austin Milton et al. Emergency Medicine International published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Study Hypothesis: Te researchers compared average intubation times between four diferent devices and hypothesized that a novel laryngoscope based on an enhancement of the rigid anterior commissure laryngoscope would produce faster times tointubation compared to a Macintosh blade with a bougie among inexperienced users on the difcult airway simulation. Methods: Participants were stratifed into novice, intermediate, and advanced skill levels. Each group frst performed intubationon a manikin airway without modifcations (“easy” airway)—using each of four devices (novel laryngoscope, Macintosh alone, Macintosh with bougie, and GlideScope) in random order—followed by the same technique on a manikin with modifcations to mimic a “difcult” airway. Devices requiring the use of a bougie utilize a Seldinger technique. Te primary outcome measure was the time taken to infate the manikin’s lungs with the bag ventilator. Results: Ninety-eight participants were recruited and grouped according to their self-reported experience level: 41 novices, 39 intermediate, and 18 experts. Te novel laryngoscope with gum elastic bougie (GEB) led to quicker intubation times (mean 32.0 s) compared with the Macintosh with GEB (mean 37.5 s) among the novice and intermediate groups on the difcult airway (p < 0.05) . Te methods that utilized a bougie (Macintosh blade with a GEB and Novel Laryngoscope with GEB) led to slower intubation times than the methods not utilizing a bougie (Macintosh blade and GlideScope) . Conclusions: In summary, the Seldinger technique is an important skill for those who perform endotracheal intubations (ETIs), even infrequently or in nonideal settings. Te novel laryngoscope may be a helpful option to attain ETI with the reliability of the Seldinger technique and a consistently short ETI interval. Keywords: airway management; education; endotracheal intubation; simulation training 1. Introduction Intubation is a life-saving skill that can be difcult to learn [1, 2] and retain [3, 4] . Conventional intubation methods include the use of a Macintosh, Miller, or video-assisted laryngoscope—each with its own limitations. All three can be used with or without the assistance of a bougie or stylet. It has been shown that the use of a bougie (tracheal introducer) compared with an endotracheal tube (ETT) and stylet (malle

FAQs

How were participants grouped in the study?

Participants were stratified by self-reported experience into novice, intermediate, and advanced skill levels.

What was the primary outcome measure?

The primary outcome was the time required to inflate the manikin’s lungs using a bag ventilator after intubation.

Which device approach performed best on the difficult airway?

Among novices and intermediates on the difficult airway, the novel laryngoscope combined with a gum elastic bougie produced faster intubation times than the Macintosh blade with a gum elastic bougie.

Sep 29, 2026

Uploaded by CatatanPagi