Intubation in Swine: What Recumbency to Choose?

Mirra, Alessandro; Spadavecchia, Claudia; Micieli, Fabiana (2022). Intubation in Swine: What Recumbency to Choose? Animals, 12(18) MDPI 10.3390/ani12182430

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Endotracheal intubation (ETI) is challenging in pigs. We compared the number of attempts and time to perform ETI, and the subjective perception of ease, while the animal was positioned in dorsal (DR) or sternal (SR) recumbency, as well as assessed whether operator experience influences the outcome. Participants were divided into three groups: undergraduates (ST; veterinary students), graduates (GR; veterinarians without specific anaesthesia training) and experts (EX; veterinary anaesthesia intern/resident and diplomate of the European College of Veterinary Anaesthesia and Analgesia). Each participant intubated one freshly euthanised pig in DR and ST. Number of attempts and time to correctly perform ETI, number of oesophageal intubations and answers to Likert-scale questions on larynx visualization and ease of endotracheal tube introduction and advancement were recorded. Thirty-three participants were enrolled (15 ST, 10 GR and 8 EX). Less attempts (p = 0.002) and time (p = 0.002) to correctly perform ETI were needed in SR for the ST group. In 21/119 and 5/48 ETI attempts, oesophageal intubation was performed in DR and SR, respectively. Larynx visualization (p < 0.001) and endotracheal tube introduction (p < 0.001) were perceived as easier in SR for the ST group. No difference between recumbencies was found in perceived ease to advance the endotracheal tube. For inexperienced operators, intubation in SR can be recommended.

Item Type:

Journal Article (Original Article)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV)
05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > DKV - Anaesthesiology

Graduate School:

Graduate School for Cellular and Biomedical Sciences (GCB)

UniBE Contributor:

Mirra, Alessandro, Spadavecchia, Claudia

Subjects:

600 Technology > 630 Agriculture

ISSN:

2076-2615

Publisher:

MDPI

Language:

English

Submitter:

Pubmed Import

Date Deposited:

26 Sep 2022 13:52

Last Modified:

05 Dec 2022 16:25

Publisher DOI:

10.3390/ani12182430

PubMed ID:

36139291

Uncontrolled Keywords:

anaesthesia dorsal intubation pig recumbency sternal veterinary

BORIS DOI:

10.48350/173247

URI:

https://boris.unibe.ch/id/eprint/173247

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