Current Evidences for the Use of UEscope in Airway Management

Abstract

Objective:UEscope is a new angulated videolaryngoscope (VL). This review aimed to describe the features of UEscope and provide clinical evidences regarding the efficacy and safety of this video device in adult tracheal intubation and its roles in airway management teaching.Data Sources:The Wan Fang Data, CNKI, PubMed, Embase, Cochrane Library, and Google Scholar were searched for relevant English and Chinese articles published up to January 15, 2017, using the following keywords: “HC video laryngoscope”, “UE videolaryngoscope”, “video laryngoscope”, and “videolaryngoscopy”.Study Selection:Human case reports, case series, observable studies, and randomized controlled clinical trials were included in our search. The results of these studies and their reference lists were cross-referenced to identify a common theme.Results:UEscope features the low-profile portable design, intermediate blade curvatures, all-angle adjustable monitor, effective anti-fog mechanisms, and built-in video recording function. During the past 5 years, there have been a number of clinical studies assessing the application and roles of UEscope in airway management and education. As compared with direct laryngoscope, UEscope improves laryngeal visualization, decreases intubation time (IT), and increases intubation success rate in adult patients with normal and difficult airways. These findings are somewhat different from the previous results regarding the other angulated VLs; they can provide an improved laryngeal view, but no conclusive benefits with regard to IT and intubation success rate. Furthermore, UEscope has extensively been used for intubation teaching and shown a number of advantages.Conclusions:UEscope can be used as a primary intubation tool and may provide more benefits than other VLs in patients with normal and difficult airways. However, more studies with large sample are still needed to address some open questions about clinical performance of this new VL.

Comparison of the UEScope videolaryngoscope with the Macintosh laryngoscope during simulated cardiopulmonary resuscitation

“…The UEScope consistently provided better laryngeal view, a shorter time to laryngeal visualization and intubation compared to direct laryngoscopy. [ 19 ] In contrast to these results in real-life patients our manikin study showed comparable results in overall intubation success and time to glottis visualization and intubation in airway scenario A.…”

“…A recent review reported that the UEScope may provide more benefits than other video laryngoscopes in patients with normal and difficult airways. [ 19 ]…”

Comparison of Miller laryngoscope and UEScope videolaryngoscope for endotracheal intubation in four pediatric airway scenarios: a randomized, crossover simulation trial

“…Many different videolaryngoscopes for pediatric patients are available, but not all can be used in all age groups [23, 30]. UEScope is a portable videolaryngoscope [29] invented in 2010, equipped with several blades for different age groups. Its specific feature is the angulated blade [29].…”

“…UEScope is a portable videolaryngoscope [29] invented in 2010, equipped with several blades for different age groups. Its specific feature is the angulated blade [29]. The technique for introducing UEScope does not demand tongue sweep.…”

Tracheal Intubation Awake or Under Anesthesia for Potential Difficult Airway

“…[ 4 ] These facts have greatly facilitated the progress of clinical airway management and resulted in the development of new related strategies and techniques. [ 5 ] Furthermore, in numerous nations, practice guidelines have been developed to assist anesthesiologists for safe airway management in perioperative period. [ 6 7 8 9 10 11 12 ] Due to those tremendous efforts, the incidence of serious complications related to airway management has been significantly decreased.…”