Correspondence: Use of a Venner A.P. Advance videolaryngoscope in a patient with potential cervical spine injury

Butchart, A.; Young, Peter

doi:10.1111/j.1365-2044.2010.06460.x

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…A stylet is not required. 12 We wished to evaluate the efficacy of these laryngoscopes compared with a Macintosh laryngoscope, when used by experienced anaesthetists unfamiliar with these videolaryngoscopes, in a randomized controlled manikin study in a normal airway and in a difficult airway scenario. We chose a manikin study because the APA is a new device whose performance has not been examined in a randomized trial in the peer-reviewed literature.…”

mentioning

confidence: 99%

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study

Burdett

Ross-Anderson

Makepeace

et al. 2011

British Journal of Anaesthesia

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mentioning

confidence: 99%

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study

Burdett

Ross-Anderson

Makepeace

et al. 2011

British Journal of Anaesthesia

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“…The guiding mechanism foregoes the need for a stylet and aims to protect pharyngeal and laryngeal anatomy from direct trauma from the tube (Figure 1). There is currently only one published case report relating to the APA in the literature, 20 leaving little from which to assess the potential for airway trauma associated with the APA.…”

mentioning

confidence: 99%

Paramedic Laryngoscopy in the Simulated Difficult Airway: Comparison of the Venner A.P. Advance and GlideScope Ranger Video Laryngoscopes

Butchart

Tjen

Garg

et al. 2011

Academic Emergency Medicine

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Objectives: This study assesses intubation times and potential trauma with two new portable video laryngoscopes, the GlideScope Ranger (GSR) and the Venner A.P. Advance (APA), in a simulated difficult prehospital airway. The GSR has a hockey stick shape and is inserted by a different (midline) technique compared with direct laryngoscopy and requires the use of a stylet. The APA has a handle similar to a direct laryngoscope, but with an angulated difficult airway blade. The APA is designed to have an intuitive insertion technique somewhat similar to that of direct laryngoscopy (lateral tongue displacement) and has a guiding mechanism that foregoes the need for a stylet.Methods: Thirty qualified paramedics received a short demonstration of each device and were asked to intubate a modified Grade III difficult laryngoscopy mannequin in a random order (closed envelope technique). Optimal view and tracheal intubation times were recorded, and potential trauma assessed by the number of additional discrete forward advances and by visual analog scale (VAS). Direct laryngoscopy was used as a comparator. The Wilcoxon rank sum test was used for intubation times, optimal view times, percentage of glottis opening (POGO) seen, and objective trauma assessment. Student's paired ttest was used for subjective trauma assessment and a Bonferroni correction was used for the primary outcome measures.Results: Participants declared a median of 60 (range 20 to 300) previous intubations. Time to achieve optimal view between APA and GSR was not different (20 seconds vs. 19 seconds; p = 0.19), but tracheal intubation was significantly faster with the APA (25 seconds vs. 46 seconds; p < 0.0001). Intubation success was ultimately 97% in both groups. Participants judged subjective trauma to be less for the APA than GSR on a VAS (1.6 cm vs. 3.3 cm; p < 0.001). More than three additional forward advances were required in 43% of GSR and 0% of APA intubations.

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“…The Venner AP Advance video laryngoscope had recently been introduced into the department, and had already been used by CM on manikins and a number of asleep patients successfully. With the knowledge that it had been used effectively whilst maintaining manual in line stabilisation [7] the decision was made to use the Venner APA laryngoscope on this occasion. In the event of any difficulty, the plan was to secure the airway through an awake oral fibre optic intubation.…”

Section: Casementioning

confidence: 99%

“…Successful use of Venner AP advance laryngoscope has been reported, during a rapid sequence induction for tracheal intubation, with manual in line stabilisation in a young patient with a potential cervical spine injury [7]. We report our experience of performing an awake intubation using the Venner APA video laryngoscope in a predicted difficult airway.…”

Section: Introductionmentioning

confidence: 98%

Use of the Venner A P Advance Video Laryngoscope for Awake Intubation in a Patient with a Fused Cervical Spine

Jarvi¹

2012

J Anesthe Clinic Res

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Correspondence: Use of a Venner A.P. Advance videolaryngoscope in a patient with potential cervical spine injury

Cited by 6 publications

References 6 publications

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study

Paramedic Laryngoscopy in the Simulated Difficult Airway: Comparison of the Venner A.P. Advance and GlideScope Ranger Video Laryngoscopes

Use of the Venner A P Advance Video Laryngoscope for Awake Intubation in a Patient with a Fused Cervical Spine

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