PURPOSE: EBUS intubation has a distinct learning curve. Patient body habitus and operator experience are independent variables that may make this step cumbersome. ROTIG is device designed to assist with ease of endotracheal intubation by eliminating tongue contact and the gag reflex. To assess ROTIG's efficacy for EBUS intubation.
METHODS: With IRB approval, 30 patients undergoing EBUS serving as their own controls, were randomized to ROTIG and standard mouthpiece. Patient characteristics such as Mallampati score, dentition, neck circumference, thyromental distance, and operator experience were recorded. Time increments from EBUS entry to passage of vocal cords was recorded. ROTIG was available in 3 sizes and is a clear one piece elastomer device with both upper and lower bite trays and a midline tubular applicator to avoid the tongue during intubation.
RESULTS: ROTIG was well tolerated and there were no dislodgements of the device or the bronchoscope. Novice operators were comparable to experience operators in success of intubations with ROTIG. Gag reflex was not observed with ROTIG. Time to intubation was uniformly faster with ROTIG with a mean of 20 seconds compared with > 2 minutes with the standard mouthpiece. Less reattempts for intubation with ROTIG accounted for some of this.
CONCLUSIONS: ROTIG is a safe, well tolerated and effective alternative to standard mouthpieces for EBUS intubations.
CLINICAL IMPLICATIONS: ROTIG offers a new device for EBUS procedures.
DISCLOSURE: The following authors have nothing to disclose: Carla Lamb
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