Biography:

In the past Elizabeth H. Sinz has collaborated on articles with Arne O. Budde. One of their most recent publications is Original ContributionComparison of 2 techniques of laryngeal tube exchange in a randomized controlled simulation study☆. Which was published in journal The American Journal of Emergency Medicine.

More information about Elizabeth H. Sinz research including statistics on their citations can be found on their Copernicus Academic profile page.

Elizabeth H. Sinz's Articles: (2)

Original ContributionComparison of 2 techniques of laryngeal tube exchange in a randomized controlled simulation study☆

AbstractBackgroundLaryngeal tubes (LT) are often used as rescue airway devices. Among prehospital medical personnel, the success rates are high and significantly faster compared to an endotracheal tube (ETT). Therefore, LTs are increasingly used in the prehospital setting. The exchange of an LT for an ETT may often be desirable. Two fiberoptic bronchoscope–facilitated techniques have been described to exchange an LT for an ETT: an intraluminal technique using an Aintree intubating catheter and an extraluminal technique using a nasal route alongside the LT. In this randomized cross-over mannequin study, we compared the intraluminal with the extraluminal exchange technique. The primary outcome was time to achieve an effective airway through an ETT. We hypothesized that the intraluminal technique would be significantly faster.MethodsThirty anesthesia providers were recruited to the study. Each participant attempted both techniques in an intubation simulation model. The tube exchange time was recorded from picking up the fiberoptic bronchoscope until confirmation of ventilation with the ETT.ResultsFour participants in each group had a failed attempt at intubation. Time to establish an endotracheal intubation was significantly shorter with the intraluminal technique vs the extraluminal technique (77.5 vs 140 seconds; P = .03).ConclusionBased on the results of our study, we suggest that the intraluminal technique may be a suitable alternative for a fiberoptic-guided rapid exchange of an LT for an ETT to establish an effective airway in a challenging situation.

Anesthesiology National CME Program and ASA Activities in Simulation

This article traces the history of anesthesiology's role in simulation from Resusci Anne and Sim One to the use of simulation today for introducing new products and techniques to otherwise fully trained, practicing physicians. The article also describes the latest efforts of the American Society of Anesthesiologists (ASA) to promote simulation-based instruction. The article focuses in particular on the activities of the ASA Committee on Simulation Education. Many predict that simulation-based teaching will generate the next revolution in health care education. The ASA is hoping to capitalize on anesthesiology's long involvement and leadership in simulation-based health care education to help bring about this revolution.

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