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Comparison of Sitting Face-to-Face Intubation (Two-Person Technique) with Standard Oral-tracheal Intubation in Novices: A Mannequin Study
The Journal of Emergency Medicine, 05/09/2012
Venezia D et al - Subjects were significantly more successful at performing and preferred the sitting face–to–face intubation when compared to standard intubation.
Methods- Volunteer medical and paramedical students were given instruction, then tested, performing in random order both standard oral-tracheal and two-person sitting face-to-face oral-tracheal intubation on full-bodied mannequins.
- Observers reviewed video recordings, noting the number of successful intubations and the time to completion of each procedure at 15, 20, and 30s.
- All of the sitting face-to-face intubations were successful, 53/53 (100%, 95% confidence interval [CI] 93–100%); whereas of the 53 subjects who performed standard intubation, 48 were successful (91%, 95% CI 80–96%).
- The difference between successful intubations using the standard vs. sitting face-to-face technique was 9% (95% CI 1.3–9.4%, p=0.025).
- At times 15 and 20s, medical student subjects who successfully performed both techniques were less successful at completing the procedure when performing the standard technique as compared to the sitting face-to-face technique (p=0.016).
- A post-procedural survey found that the majority of subjects preferred the sitting technique.
