Anaesthesia
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Comment Letter Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of the Macintosh and McCoy laryngoscope blades.
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We have followed the progress of 12 anaesthetic trainees as they learnt how to perform fibreoptic nasotracheal intubation with the aid of an endoscopic video camera system. Each trainee had a structured teaching session on a bronchial tree model, viewed an instructional videotape and then performed 20 nasotracheal intubations on anaesthetised oral surgery patients. Trainees were required to perform the endoscopies under full visual control and to demonstrate airway anatomy as they advanced the fibrescope. ⋯ The best fit value for the first endoscopy time was 132s, and after the 18th (two half-lives) it was 49 s. We analysed the theoretical basis for deriving a learning curve from raw data. This information could form a rational basis for the design of fibreoptic training programmes using video imaging systems.