RESUMENLa intubación endotraqueal mediante laringoscopia directa sigue siendo el gold standard entre todas las técnicas de aislamiento de la vía aérea. Se trata, generalmente, de una maniobra segura, pero en ocasiones puede convertirse en una situación de extrema emergencia ante una vía aérea difícil imprevista.El laringoscopio Airtraq® (Prodol Meditec, Vizcaya, Spain) representa una nueva herramienta a utilizar en el paciente. Su fácil aprendizaje y sencillo manejo lo convierten en un práctico dispositivo en muchas indicaciones de manejo de la vía aérea. Ha mostrado ventajas frente al laringoscopio de Macintosh en pacientes con vía aérea de difícil manejo y en situaciones adversas fuera del medio quirúrgico, lográndose la intubación endotraqueal de forma sencilla tras intentos ineficaces con laringoscopios convencionales.Los mayores beneficios con el uso del laringoscopio Airtraq® se han visto en pacientes con una marcada limitación de la movilidad cervical y aquellos, como embarazadas y obesos, en los que por razones anatómi-cas la vía aérea se ve distorsionada.Palabras clave. Airtraq. Vía aérea difícil. Laringoscopio óptico. Manejo de la vía aérea. ABSTRACTEndotracheal intubation using direct laryngoscopy continues to be the "gold standard" amongst all the techniques for isolating the airway. Generally this is a secure manoeuvre, but it might become a situation of extreme emergency when dealing with an unexpected difficult airway.The Airtraq® laryngoscope (Prodol Meditec, Vizcaya, Spain) is a new tool for use with the patient. The fact that it is easy to learn to use and simple to handle makes it a practical device in many situations where managing the airway is indicated. Its advantages over the Macintosh laryngoscope have been demonstrated in patients with an airway that it is difficult to manage and in adverse situations outside the surgical setting, when endotracheal intubation has been achieved in a simple way following unsuccessful attempts with conventional laryngoscopes.The greatest benefits in using the Airtraq® laryngoscope have been shown in patients with a pronounced limitation of cervical mobility, and in those where the airway is distorted for anatomical reasons, such as pregnant women and obese patients.
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