30 September 2023 : Clinical Research
The Impact of Implementing the Vortex Approach on Airway Management Performance in Stressed Medical Students: A Randomized Controlled Simulation Study
Michał Starosolski
1ABCDEFG*, Cezary Kapłan 2ABDEF, Alicja Kalemba 2ABCDEF, Karolina Majewska 2BCDEF
DOI: 10.12659/MSM.940372
Med Sci Monit 2023; 29:e940372
Table 3 Pathways of airway management.
| Airway Management Outcome Score | Vortex group | Control group | Total | p |
|---|---|---|---|---|
| Rapid cricothyrotomy | 6 (12.5%) | 6 (12.5%) | 12 (12.5%) | 1.0 |
| • After 1 attempt at upper airway lifelines (0) | 1 (2.1%) | 2 (4.2%) | 3 (3.1%) | |
| • After 2–3 different attempts at lifelines (1) | 5 (10.5%) | 4 (8.3%) | 6 (6.2%) | |
| Apnea (0) | 0 | 2 (4.2%) | 2 (2.1%) | 0.5 |
| Persistent, repeated attempts – >3 attempts in one lifeline, multiple same attempts (0) | 1 (2.1%) | 9 (18.8%) | 10 (10.4%) | |
| Traumatic endotracheal intubation | 8 (16.7%) | 13 (27.1%) | 21 (21.9%) | 0.2 |
| • Traumatic endotracheal intubation (0) | 4 (8.3%) | 7 (14.6%) | 11 (11.5%) | |
| • Using any optimizations or/and using another lifeline (1) | 4 (8.3%) | 6 (12.5%) | 10 (10.4%) | |
| Multiple same attempts, but ≤3 at one lifeline + using any optimizations or/and using other lifeline (1) | 6 (12.5%) | 5 (10.4%) | 11 (11.5%) | 0.7 |
| Using different lifelines/optimizations, without identical attempts (2) | 14 (29.2%) | 2 (4.2%) | 16 (16.7%) | |
| Face mask ventilation only (2) | 2 (4.2%) | 0 | 2 (2.1%) | 0.5 |
| LMA – only/after face mask/after attempt of ETT insertion (2) | 11 (22.9%) | 11 (22.9%) | 22 (22.9%) | 1.0 |
| Different = attempt in different upper airway lifelines or attempts in one lifeline with optimizations applied. | ||||