Airtraq optical laryngoscope: initial clinical experience in 20 children

Hirabayashi, Yoshihiro; Shimada, N

doi:10.1007/s00540-009-0828-2

Cited by 15 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The AOL has been evaluated in a case series of 20 children aged 14 days to 9 years with both normal and difficult airways, and in conclusion the device was found safe and beneficial [11]. Although the case series had a wider age range than our pilot-study, these findings are in good accordance with ours.…”

Section: Discussionsupporting

confidence: 83%

Endotracheal intubation with airtraq® versus storz® videolaryngoscope in children younger than two years - a randomized pilot-study

Sørensen

Holm-Knudsen

2012

BMC Anesthesiol

View full text Add to dashboard Cite

BackgroundNew laryngoscopes have become available for use in small children. The aim of the study was to compare the Storz® videolaryngoscope (SVL) to the Airtraq® Optical laryngoscope (AOL) for tracheal intubation in children younger than two years of age who had a normal airway assessment. Our hypothesis was that the SVL would have a better success rate than the AOL.MethodsTen children aged 2 years or younger scheduled for elective cleft lip/palate surgery were included. The anesthesia was standardized and a Cormack-Lehane (CL)-score was obtained using a Macintosh laryngoscope. After randomization CL-score and endotracheal tube positioning in front of the glottis was performed with one device, followed by the same procedure and intubation with the other device. The video-feed was recorded along with real-time audio. The primary endpoint was the success rate, defined as intubation in first attempt. Secondary endpoints were the time from start of laryngoscopy to CL-score, tube positioning in front of the glottis, and intubation.ResultsTwo intubation attempts were needed in two of five patients randomized to the SVL. The difference in time (SVL vs. AOL) to CL-score was 4.5 sec (p = 0.0449). The difference in time (SVL vs. AOL) to tube positioning was 11.6 sec (p = 0.0015). Time to intubation was 29.0 sec for SVL and 15.8 sec for AOL.ConclusionNo difference in the success rate of endotracheal intubation could be established in this ten patient sample of children younger than two years with a normal airway assessment scheduled for elective cleft lip/palate surgery. However, the Airtraq® Optical videolaryngoscope showed a number of time related advantages over the Storz® videolaryngoscope. Because of the small sample size a larger trial is needed to confirm these findings. Both devices were considered safe in all intubations.Trial registrationClinicalTrials.gov; Identifier NCT01090726.

show abstract

Section: Discussionsupporting

confidence: 83%

Endotracheal intubation with airtraq® versus storz® videolaryngoscope in children younger than two years - a randomized pilot-study

Sørensen

Holm-Knudsen

2012

BMC Anesthesiol

View full text Add to dashboard Cite

show abstract

“…However, use of the AWS resulted in a significantly shorter time to view the glottis and perform tracheal intubation compared with the Airtraq, both at rest and during external chest compressions. Both devices have been demonstrated to be effective in the management of both routine and difficult airways [5, 7, 12] and successful use of the Airtraq in children has been reported previously [17, 18], including by Shimada et al., who performed successful tracheal intubation in all 100 paediatric patients, including three difficult airway cases [19]. Whilst the AWS has been shown to be superior to the Airtraq in adults [20, 21], this is the first time that it has been shown to be superior to the Airtraq in an infant manikin study.…”

Section: Discussionmentioning

confidence: 89%

A comparison of the Pentax Airway Scope™ with the Airtraq™ in an infant manikin

Tampo¹,

Suzuki²,

Sako³

et al. 2012

Anaesthesia

View full text Add to dashboard Cite

SummaryWe compared the Pentax Airway Scope TM with the Airtraq TM optical laryngoscope in an infant manikin. Twenty-three anaesthetists randomly performed tracheal intubation: at rest, (a) with the Airway Scope and (b) with the Airtraq; and during chest compressions, (c) with the Airway Scope and (d) 7 (9.1-18.1 [6.2-37.4]) s using the Airtraq (p = 0.022). We conclude that both devices provided good quality views of the glottis and successful tracheal intubation in an infant manikin both at rest and during external chest compressions. Use of the Airway Scope resulted in a shorter time to view the glottis and perform successful tracheal intubation compared with the Airtraq.

show abstract

“… Passing the ETT through the vocal cords may be difficult. [ 61 62 ] Gum elastic bougie, fibreoptic bronchoscopes and stylets can be used in case of troubleshooting[ 63 ] The Triple maneuver (downward, backwards and upwards) may be done in case of poor laryngeal view. Also, inadequate laryngeal visualization may be due to the device being inserted too far and is ameliorated by gentle withdrawal.…”

Section: Troubleshootingmentioning

confidence: 99%

Evolution of videolaryngoscopy in pediatric population

Gupta¹,

Sharma²,

Gupta³

2021

Journal of Anaesthesiology Clinical Pharmacology

View full text Add to dashboard Cite

Direct laryngoscopy has remained the sole method for securing airway ever since the inception of endotracheal intubation. The recent introduction of video-laryngoscopes has brought a paradigm shift in the pratice of airway management. It is claimed that they improve the glottic view and first pass success rates in adult population. The airway management in children is more challenging than adults. The role of videolaryngoscopy for routine intubation in children is not clearly proven. This review attempts to discuss various videolaryngosocpes available for use in pediatric patients.

show abstract

Airtraq optical laryngoscope: initial clinical experience in 20 children

Cited by 15 publications

References 5 publications

Endotracheal intubation with airtraq® versus storz® videolaryngoscope in children younger than two years - a randomized pilot-study

Endotracheal intubation with airtraq® versus storz® videolaryngoscope in children younger than two years - a randomized pilot-study

A comparison of the Pentax Airway Scope™ with the Airtraq™ in an infant manikin

Evolution of videolaryngoscopy in pediatric population

Contact Info

Product

Resources

About