Table 5.
Procedural characteristics in Academic Year 1 versus Academic Year 10.
| Procedural characteristic | Academic Year 1 (2007–2008) %, (n = 342) | Academic Year 10 (2016–2017) %, (n = 445) | % Difference (95% CI) |
|---|---|---|---|
| Device used | |||
| Direct laryngoscope | 52.6% (180) | 2.0% (9) | −50.6% (−56.1% to −45.2%) |
| Video laryngoscope | 44.7% (153) | 97.8% (435) | 53.0% (47.6% to 58.5%) |
| Hyperangulated VL | 100% (153/153) | 7.4% (32/435) | −92.6% (−95.1% to −90.2%) |
| Standard Geometry VL | 0% (0/153) | 92.6% (403/435) | 92.6% (90.2% to 95.1%) |
| GlideScope® | 86.9% (133/153) | 5.5% (24/435) | −81.4% (−87.2% to −75.7%) |
| C-MAC® | 0% (0/153) | 94.5% (411/435) | 94.5% (92.3% to 96.6%) |
| Other VL | 13.1% (20/153) | 0% (0/435) | −13.1% (−18.4% to −7.7%) |
| Paralytic used | |||
| Succinylcholine | 40.3% (138) | 54.0% (240) | 13.6% (6.6% to 20.5%) |
| Rocuronium | 59.1% (202) | 45.8% (204) | −13.2% (−20.2% to −6.3%) |
| Sedative used | |||
| Etomidate | 90.4% (309) | 81.6% (363) | −8.8% (−13.5% to −4.0%) |
| Ketamine | 2.0% (7) | 14.6% (65) | 12.6% (9.0% to 16.2%) |
| Propofol | 2.6% (9) | 2.2% (10) | −0.4% (−2.6% to 1.8%) |
| Operator PGY | |||
| PGY 1 | 17.3% (59) | 13.7% (61) | −3.5% (−8.7% to 1.6%) |
| PGY 2 | 39.2% (134) | 35.0% (156) | −4.1% (−10.9% to 2.7%) |
| PGY ≥3 | 43.6% (149) | 51.2% (228) | 7.7% (0.7% to 14.7%) |
| Rescue maneuvers | |||
| Device switch | 17.8% (61) | 0.5% (2) | −17.4% (−21.5% to −13.3%) |
| Resident rescue | 3.2% (11) | 0.9% (4) | −2.3% (−4.4% to −0.3%) |
| Attending rescue | 5.8% (20) | 0.2% (1) | −5.6% (−8.1% to −3.1%) |
| SGD rescue | 1.2% (4) | 0% (0) | −1.2% (−2.3% to 0%) |
| CRIC rescue | 0% (0) | 0% (0) | 0% |
Other VL=McGrath®, Pentax Airway Scope®, Res-Q-Scope®.
CI, confidence interval; VL, video laryngoscope; SGD, supraglottic device; CRIC, cricothyrotomy; PGY, postgraduate year.