A clinical assessment of the Glidescope videolaryngoscope in nasotracheal intubation with general anesthesia

Xue, Fu‐Shan; Zhang, Guohua; Liu, Jin; Li, Xuanying; Sun, Haitao; Xiao, Wang; Li, Cheng‐Wen; Liu, Kun-peng; Xu, Yuan-Chen; Yi, Liu

doi:10.1016/j.jclinane.2006.03.018

Cited by 82 publications

(95 citation statements)

References 14 publications

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“…In these cases, the initial insertion of videolaryngoscope should be performed diagonally, with subsequent positioning of the blade. Furthermore, further extending the atlanto-occipital joint and rotating the handle by 90 o to the right are the useful measures to facilitate the insertion of the blade (10,61,62).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…To minimize the risk of airway injuries associated with videolaryngoscopy, the intubators should insert both the videolaryngoscope and the tracheal tube into the mouth under direct vision without using undue force (10,62,65,66). When performing intubation using a videolaryngoscope with sharply angulated blade, moreover, a useful four-step technique has been recommended (65,68).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

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Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

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Aim of review:The aim of this article is to review the recent literatures regarding videolaryngoscopes, compare performance of videolaryngoscopy versus direct laryngoscopy, discuss the role of videolaryngoscopy in clinical airway management and provide the measures that can improve the performance of videolaryngoscopy and decrease complications associated with videolaryngoscopy. Methods: The literatures about the use of videolaryngoscopes in the clinical airway management, published in the past decades, were searched from the Pubmed and Cochrane databases and reviewed, in order to determine their performance, and identify their limitations and find appropriate alternate techniques to overcome their shortcomings and failures. Recent findings: Videolaryngoscopes are promising intubation devices, which are easy to use, and the skills involved are easy to obtain by either novices or experienced intubators. In the current practice, videolaryngoscopes are commonly used as main devices of predicted difficult airways and as rescue tools of difficult or failed direct laryngoscopy. For patients with difficult airways, videolaryngoscopy can provide an improved laryngeal visualization and achieve a higher intubation success rate compared with direct laryngoscopy. Moreover, videolaryngoscopy has the potential to increase patient safety by facilitating learning, teaching, and success of tracheal intubation. Despite the very good laryngeal visualization, the insertion and advancement of the tracheal tube with videolaryngoscopy may occasionally fail, and the airway injuries associated with videolaryngoscopy can occur. Summary: The introduction of videolaryngoscopy has resulted in a dramatic transformation of clinical airway management and is seen as the evolutionary step in intubation technology. There are several different types of videolaryngoscopes available. Each device's features may offer advantages or disadvantages, depending on the situation the anesthetist has to deal with. To get the best out of videolaryngoscopy, all anesthetists must be trained in the use of videolaryngoscopes and such devices should be available in all sites where tracheal intubation is performed.

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Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

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“…The GlideScope ® (GS), a new video device for indirect laryngoscopy is available since 2002 [2]. This is a device which is handled similarly to the Macintosh laryngoscope (Mac) [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…This is a device which is handled similarly to the Macintosh laryngoscope (Mac) [2][3][4][5]. It has a high resolution camera near the tip of the blade with a light source next to it [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

The GlideScope<sup>®</sup> Video Laryngoscope and the Macintosh Laryngoscope Compared in a Simulated Difficult Airway with Immobilization and Bleeding—A Randomized, Prospective, Crossover Study

Ackermann¹,

Pott²,

Vaida³

et al. 2012

OJAnes

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Background: This study assesses the effectiveness of the GlideScope ® Videolaryngoscope (GS) in comparison with the Macintosh laryngoscope in a simulated difficult airway with blood in the airway and restricted range of motion of the neck. 39 participants experienced with the GS and the Macintosh laryngoscope were used. Methods: This analysis is a prospective, randomized, crossover study. Our study was performed on an intubation simulation model with artificial blood in the airway and restricted range of motion. The intubation time was recorded from picking up the laryngoscope to advancing the endotracheal tube through the glottic opening. Secondary endpoints were the Cormack & Lehane score, the percentage of the glottis seen, the subjective difficulty of the procedure on a scale of 0 to 10, the number of adjustment maneuvers, the number of attempts, and the number of failed intubations. Attempts were defined as removal of instruments from the airway and reinsertion. Failed intubations were defined as esophageal intubations or intubations lasting longer than 120 seconds. Results: The mean intubation time was 47.6 seconds with the GS and 21.4 seconds with the Macintosh laryngoscope. There were 3 failed intubations with the Macintosh laryngoscope and 4 failed intubations with the GS. The failed intubations with the Macintosh laryngoscope were all esophageal intubations. The failed intubations with the GS were due to exceeding the time limit of 120 seconds. Both devices had a mean Cormack & Lehane score of 1.8 and the mean percentage of the Glottis seen was 58% for both devices. The average subjective difficulty on a scale from 0 to 10 was ranked 4.16 for the Macintosh and 5.14 for the GS. Participants needed an average of 1 adjustment maneuvers with the Macintosh laryngoscope and 2.7 adjustments with the GS. Conclusion: The GS, used by experienced anesthesiologists in a simulated difficult airway, had an inferior performance compared to the Macintosh laryngoscope in terms of intubation time, number of intubation attempts, number of adjustment maneuvers, and number of failed intubations.

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“…[6] GlideScope ® video laryngoscope (Portable GVL, Veraton Medical, Canada), which is designed for patients with difficult airways, has a blade angle of 60° and a camera to visualize the glottis independent of the direct line of sight. [7][8][9] The severity of the hemodynamic response during laryngoscopy is attributed to correlate with laryngoscopy time and the magnitude of manipulation to expose glottis. [10,11] While using GlideScope, less upward lifting force is needed to expose the glottis than the conventional Macintosh blade and it is hypothesized that GlideScope may be associated with less hemodynamic response while providing better visualization of the larynx.…”

mentioning

confidence: 99%

Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery

İnangil

Cansız

Gürbüz

et al. 2018

Turk Gogus Kalp Dama

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A clinical assessment of the Glidescope videolaryngoscope in nasotracheal intubation with general anesthesia

Cited by 82 publications

References 14 publications

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

The GlideScope<sup>®</sup> Video Laryngoscope and the Macintosh Laryngoscope Compared in a Simulated Difficult Airway with Immobilization and Bleeding—A Randomized, Prospective, Crossover Study

Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery

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A clinical assessment of the Glidescope videolaryngoscope in nasotracheal intubation with general anesthesia

Cited by 82 publications

References 14 publications

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

The GlideScope&lt;sup&gt;&#174;&lt;/sup&gt; Video Laryngoscope and the Macintosh Laryngoscope Compared in a Simulated Difficult Airway with Immobilization and Bleeding—A Randomized, Prospective, Crossover Study

Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery

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The GlideScope<sup>®</sup> Video Laryngoscope and the Macintosh Laryngoscope Compared in a Simulated Difficult Airway with Immobilization and Bleeding—A Randomized, Prospective, Crossover Study