J Med Assoc Thai 2012; 95 (2):205

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Snake Scope Camera Assisted Endotracheal Intubation: A Procedural Skills Training in Cadaver to Prepare Preclinical Students for Their Clerkships
Tansatit T Mail, Apinuntrum P , Phetudom T

Objective: Preparing students to perform specific procedures on patients presents a challenge of student confidence in
performing these tasks. This descriptive study determined the ability of the medical students to perform a basic clinical task
after a short hands-on training workshop in cadavers. This basic procedural skills training was an attempt for developing
conceptual understanding and increasing procedural skills in endotracheal intubation of the medical students.

Material and Method: The students were trained to perform two different endotracheal intubations, uncomplicated
intubation, and a traumatic difficult airway scenario. The training session consisted of two methods of endotracheal intubation,
oral intubations using direct laryngoscopy (DL) in two cadavers with uncomplicated airway and the Flexible Snake Scope
camera (FSSC) assisted nasal intubation procedures in two cadavers simulated trauma victims with difficult airway. In
the assessment session, the students performed one timed trial with each device. All four cadavers were changed but the
scenarios were the same. The groups of the medical students were randomly assigned to perform the tasks in one of two
cadavers of the two scenarios.

Results: Thirty-two medical students participated in this training and assessment. The training session and the assessment
lasted five hours and three hours respectively. No student was asked to perform the second trial. The average time for
successful intubation with DL was 32.7 seconds (SD, 13.8 seconds) and for FSSC was 127.0 seconds (SD, 32.6 seconds). The
intubation failure rate was 0% for the entire study.

Conclusion: The medical students have the ability to accomplish a basic clinical task after a short hands-on training
workshop.

Keywords: Intubation, Difficult airway, Snake scope camera, Medical students, Cadavers


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