Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study

Ge, Xiaoyan; Liu, Wei; Zhang, Ziting; Xie, Fenglei; Zhao, Tengfei; Li, Yuanhai

doi:10.1016/j.bjane.2021.03.002

Cited by 1 publication

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“…However, alternative techniques such as the lightwand, video laryngoscope or FOB could also be considered. Despite being an older and blind technique that is commercially unavailable in some regions, lightwand intubation offers several advantages due to its compact size, semi-rigidity, adjustable tip angle and ease of use [16], which is especially valuable in patients with limited mouth opening or spinal deformities, where performing awake FOB can be challenging due to its availability or bleeding risks [2,17]. Furthermore, video laryngoscopy, theoretically involving similar cervical spine movements as direct laryngoscopy, retains a risk of neurological injury [18].…”

Section: Discussionmentioning

confidence: 99%

Comparison of lightwand intubation technique in neck-immobilized patients with face-to-face and conventional approaches

2024

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The lightwand is a valuable device for managing the airways of patients with neck immobilization due to its ease of minimal neck movement. For lightwand intubation, adopting a face-to-face technique offers the potential for improved accessibility and reduced risk of injury associated with blind scooping maneuvers. In this study, we compared the initial success rate of the face-to-face approach with the conventional method as the primary endpoint and their complications as the second endpoint, including postoperative sore throat, the incidence of bleeding and hoarseness in neck-immobilized patients. Our findings indicate that the initial success rate was 84.1% for the face-to-face approach and 88.6% for the conventional approach (p = 0.381). The intubation times for the face-to-face approach and conventional approach were 12.0 and 14.0 seconds, respectively (p = 0.704). Furthermore, there were no statistically significant inter-group differences observed in the overall incidence of postoperative complications, including sore throat, bleeding and hoarseness. In summary, our study shows that the face-to-face approach in lightwand intubation for neck-immobilized patients could be suggested as one of the alternatives, yielding outcomes similar to the conventional lightwand technique.

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Section: Discussionmentioning

confidence: 99%

Comparison of lightwand intubation technique in neck-immobilized patients with face-to-face and conventional approaches

2024

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Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study

Cited by 1 publication

References 30 publications

Comparison of lightwand intubation technique in neck-immobilized patients with face-to-face and conventional approaches

Comparison of lightwand intubation technique in neck-immobilized patients with face-to-face and conventional approaches

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