GlideScope and Frova Introducer for Difficult Airway Management

Abstract

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles that may occur both in a difficult provided intubation such as those unexpected, associated endotracheal introducer able to facilitate the passage of the endotracheal tube through the vocal cords into the trachea may be useful. We report 4 cases of difficult intubation planned and unplanned and completed successfully using the GlideScope videolaryngoscope associated with endotracheal Frova introducer.

A before‐and‐after observational study of a protocol for use of the C‐MAC videolaryngoscope with a Frova introducer in pre‐hospital rapid sequence intubation

“…We have demonstrated that establishing a fixed protocol that employs videolaryngoscopy and a bougie for tracheal intubation can increase success rates in a HEMS setting. Previous literature includes case series of the use of this method for patients with difficult airway . Traditionally, both devices are used separately and generally only in the case of a difficult airway.…”

“…A bougie is usually used only with direct laryngoscopy. Case reports describe use of a bougie and videolaryngoscopy in cases of difficult airway producing good results .…”

A randomised crossover comparison of two endotracheal tube introducers: the FROVA and the Flexible Tip Bougie for GlideScope intubation of a difficult airway manikin by infrequent intubators

“…Devices to assist GlideScope intubation include stylets and endotracheal tube introducers (ETIs) (bougies), and the latter have been used to improve intubation success when difficulty is encountered [5]. These static guides can be bent into a curve which cannot be altered during each intubation attempt.…”

Airway management for general anesthesia in patients with rheumatic diseases – new possibilities

“…To overcome the obstacles that may occur in a difficult intubation, an endotracheal introducer able to facilitate the passage of the endotracheal tube through the vocal cords into the trachea may be useful [8].…”