Combined use of a videolaryngoscope and a flexible bronchoscope for awake tracheal intubation when front‐of‐neck airway is not an option*

Khan, Muhammad Furqan; Shamim, Faisal; Slote, Muhammad Umer; Salim, Bushra; Abbas, Syed Akbar

doi:10.1002/anr3.12091

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…VAFI [87] is a two-person intubation technique for use in special circumstances (whether as a planned procedure in the anticipated difficult airway [88] or as a rescue technique [89] performed in either the awake or asleep patient). The videolaryngoscope achieves a superior view of the supraglottis/glottis (than that achieved using a bronchoscope), and the blade creates space for easier tube passage.…”

Section: Video-assisted Flexible/fibreoptic Intubation (Vafi)mentioning

confidence: 99%

Airway Management: The Current Role of Videolaryngoscopy

Saul,

Ward,

McNarry

2023

JPM

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Airway management is usually an uncomplicated and safe intervention; however, when problems arise with the primary airway technique, the clinical situation can rapidly deteriorate, resulting in significant patient harm. Videolaryngoscopy has been shown to improve patient outcomes when compared with direct laryngoscopy, including improved first-pass success at tracheal intubation, reduced difficult laryngeal views, reduced oxygen desaturation, reduced airway trauma, and improved recognition of oesophageal intubation. The shared view that videolaryngoscopy affords may also facilitate superior teaching, training, and multidisciplinary team performance. As such, its recommended role in airway management has evolved from occasional use as a rescue device (when direct laryngoscopy fails) to a first-intention technique that should be incorporated into routine clinical practice, and this is reflected in recently updated guidelines from a number of international airway societies. However, currently, overall videolaryngoscopy usage is not commensurate with its now widespread availability. A number of factors exist that may be preventing its full adoption, including perceived financial costs, inadequacy of education and training, challenges in achieving deliverable decontamination processes, concerns over sustainability, fears over “de-skilling” at direct laryngoscopy, and perceived limitations of videolaryngoscopes. This article reviews the most up-to-date evidence supporting videolaryngoscopy, explores its current scope of utilisation (including specialist techniques), the potential barriers preventing its full adoption, and areas for future advancement and research.

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Section: Video-assisted Flexible/fibreoptic Intubation (Vafi)mentioning

confidence: 99%

Airway Management: The Current Role of Videolaryngoscopy

Saul,

Ward,

McNarry

2023

JPM

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“…The idea of using laryngoscopy to facilitate other airway management tools (e.g., to achieve a better glottis visualization) is not new. In numerous reports, either DL or VL has been used to assist fiberoptic bronchoscopy (FOB) in various clinical scenarios [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. DL was also reported in combination with the fiberoptic stylet to assist in clinical and simulated difficult airway cases [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

Jhuang

Luk

et al. 2022

Healthcare

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Direct laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticipated or unexpected difficulties in airway management has occurred. In recent decades, optical stylets and video-assisted intubating stylets have become another option for difficult airway scenarios. In contrast to other approaches, we have adopted the Shikani video-assisted intubating stylet technique (VS) for both routine and difficult airway management scenarios. In this case series report, we present the video-twin technique, combining a videolaryngoscope with a video-assisted intubating stylet in various clinical case scenarios. We propose that such a combination is easy to learn and employ and is particularly beneficial in situations where an expected difficult airway (EDA) is encountered.

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Awake Intubation Techniques, and Why It Is Still an Important Skill to Master

Hyman

Rosenblatt

2022

Curr Anesthesiol Rep

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Combined use of a videolaryngoscope and a flexible bronchoscope for awake tracheal intubation when front‐of‐neck airway is not an option*

Cited by 7 publications

References 10 publications

Airway Management: The Current Role of Videolaryngoscopy

Airway Management: The Current Role of Videolaryngoscopy

Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

Awake Intubation Techniques, and Why It Is Still an Important Skill to Master

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