Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Evaluation of ALRYNGO Video Laryngoscope with AI-Guided Glottis Visualization in Senior Emergency Medicine Residents: A Prospective Clinical Trial

Version 1 : Received: 11 February 2024 / Approved: 12 February 2024 / Online: 12 February 2024 (15:47:50 CET)

How to cite: Lee, Y.; Kang, G.H.; Lim, T.H.; Jang, Y.S.; Kim, W.; Choi, H.Y.; Kim, J.G. Evaluation of ALRYNGO Video Laryngoscope with AI-Guided Glottis Visualization in Senior Emergency Medicine Residents: A Prospective Clinical Trial. Preprints 2024, 2024020708. https://doi.org/10.20944/preprints202402.0708.v1 Lee, Y.; Kang, G.H.; Lim, T.H.; Jang, Y.S.; Kim, W.; Choi, H.Y.; Kim, J.G. Evaluation of ALRYNGO Video Laryngoscope with AI-Guided Glottis Visualization in Senior Emergency Medicine Residents: A Prospective Clinical Trial. Preprints 2024, 2024020708. https://doi.org/10.20944/preprints202402.0708.v1

Abstract

Background We aimed to evaluate the effectiveness of the ALRYNGO channel-type video laryngoscope with an AI-based glottis guidance system in senior emergency medicine residents for endotracheal intubation. Methods We enrolled twenty patients would be adequate for each device (direct laryngoscope, Pentax-AWS, and ALRYNGO). Before intubation, six senior residents wore a personal protective equipment. To randomize the device in this clinical study, a sealed envelope containing a device-specific identification card was utilized. When intubation began, the person who measured the intubation time divided the total intubation time into three-time intervals. The primary outcome was the intubation time. The secondary outcomes were the glottis view using the Cormack-Lehane grade (C-L grade) and the glottis guidance performance of ALRYNGO’s artificial intelligence. Results In Pentax-AWS and ALRYNGO, all intubations were successful, but the intubation time was longer than with the direct laryngoscope. And among the three, the ALRYNGO and Pentax-AWS had the highest frequency of C-L grade I (easiest intubation) at 80%, and the direct laryngoscope had the lowest frequency of 10%. Conclusions Even if healthcare professionals without experience with the channel-type video laryngoscope improve their performance on airway mannequins after training, their intubation performance may differ when applied to actual patients.

Keywords

Intubation; Video laryngoscope; Direct laryngoscope; Personal protective equipment

Subject

Medicine and Pharmacology, Emergency Medicine

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