Lightwand intubation using the Trachlight™: a brief review of current knowledge

Agrò, Felice Eugenio; Hung, Orlando; Cataldo, Rita; Carassiti, Massimiliano; Gherardi, S.

doi:10.1007/bf03016838

Cited by 106 publications

(57 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lightwand intubation was performed as described previously. 14,23 Briefly, each patient was placed in a supine position, with the head and neck maintained in a neutral or slightly extended position with a pillow under the shoulders, and the epiglottis was lifted with a simple jaw-lift manoeuvre during intubation. One anaesthesiologist (blinded to the study protocol) bent the stylet-ETT unit at the previously determined length, according to the patient's assigned group, and inserted the device into the patient's mouth without turning on the bulb.…”

Section: Lightwand Intubation Proceduresmentioning

confidence: 99%

Optimal Bent Length of Lightwand for Intubation in Adults: A Randomized, Prospective, Comparative Study

Chen

Luo²,

Wang

et al. 2012

J Int Med Res

View full text Add to dashboard Cite

OBJECTIVE:To evaluate the effect on intubation success of different bent lengths of a lightwand (a malleable illuminating stylet used for intubation), based on the patient's thyroid prominence-tomandibular angle distance (TMD), thyroid prominence-to-incisor distance (TID) and gender. METHODS: This prospective, randomized, blinded study included patients undergoing elective surgery. In group A, the bent length was determined based on the patient's gender. In groups B and C, the bent length was calculated according to the patient's TMD or TID, respectively. Intubation success rate, time required for intubation, haemodynamics and complications postintubation were documented. RESULTS: A total of 246 patients were recruited and randomly assigned to one of the study groups. There were no significant differences in number of intubation attempts and success rate among the three groups. The mean time required for intubation was significantly shorter in group A than in the other groups.There were no major complications in any group. CONCLUSIONS: Gender-determined bent length was more suitable for lightwandguided intubation than TID or TMD. For most patients, the optimal bent length was in the range of 6.0 -6.9 cm.

show abstract

Section: Lightwand Intubation Proceduresmentioning

confidence: 99%

Optimal Bent Length of Lightwand for Intubation in Adults: A Randomized, Prospective, Comparative Study

Chen

Luo²,

Wang

et al. 2012

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…In contrast to direct laryngoscopy, lightwand-guided intubation does not depend on the anatomical structure of the upper airway; therefore it has an advantage in difficult airway management and is already sometimes regarded as the first line option for a failed laryngoscopic intubation. In addition, the illumination of the lightwand is not influenced by blood or secretions, so the lightwand is more effective than the fibreoptic bronchoscope in patients with active bleeding in the oral cavity following facio-maxillary trauma [11]. Lightwand-guided nasotracheal intubation is superior to blind intubation in patients with difficult airways, with a higher success rate, more stable haemodynamic responses, and fewer postoperative complications [12].…”

Section: Fibre-optic Naso-tracheal Intubationmentioning

confidence: 99%

Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons

Jaisani

Pradhan

Bhattarai

et al. 2014

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Objective To evaluate the clinical outcomes of alternative techniques of intubation in patients sustaining maxillofacial injuries, where nasotracheal intubation (NTI) is best avoided. Material and Methods Alternative techniques to standard naso-tracheal intubation like submental intubation, orotracheal intubation-retrotuberosity/retromolar and missing dentition were used and variables of clinical outcome recorded.Results Submental intubation provides an unobstructed intraoral surgical field, avoids intraoperative and postoperative complications of tracheostomy, and overcomes the disadvantages of NTI. In our experience with submental intubation (6 cases), we only had complication related to tube apparatus like damage to pilot balloon. With retrotuberosity intubation (5 cases) we did not encounter any complications and the only limitations were bulbous maxillary tuberosity. Retromolar intubation (4 cases) a safe noninvasive technique has disadvantages like tube interference within the surgical field and not feasible in case of limited retromolar space. Orotracheal-missing dentition intubation (4 cases) is of great advantage i.e. it can be used in cases where NTI is contraindicated, no specialized skill required, no added cost, avoids the need for tracheostomy, no extra-oral procedures required and does not interfere with occlusion/MMF; with disadvantage of occasional tube interference within the surgical field. Conclusion Preferred techniques of securing an airway like orotracheal, nasotracheal may not always be applicable, thus a trauma surgeon-anesthesist team should always have alternative techniques in their armamentarium to reduce the morbidity associated with these patients without interference with occlusion, which is prime goal in jaw fracture reduction. We have used these techniques in a country with limited resources and found them equally effective and convenient to use.

show abstract

“…The tip of the endotracheal tube was withdrawn back to the oropharynx after each examination. Alignment of the endotracheal tube with the glottis was classified according to transillumination at the anterior neck 8 (Table II). After the examinations, actual BNTI was attempted.…”

Section: Ma At Te Er Ri Ia Al Ls S a An Nd D M Me Et Th Ho Od Ds Smentioning

confidence: 99%

Blind nasotracheal intubation is facilitated by neutral head position and endotracheal tube cuff inflation in spontaneously breathing patients

Chung

Sun

2003

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Lightwand intubation using the Trachlight™: a brief review of current knowledge

Cited by 106 publications

References 19 publications

Optimal Bent Length of Lightwand for Intubation in Adults: A Randomized, Prospective, Comparative Study

Optimal Bent Length of Lightwand for Intubation in Adults: A Randomized, Prospective, Comparative Study

Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons

Blind nasotracheal intubation is facilitated by neutral head position and endotracheal tube cuff inflation in spontaneously breathing patients

Contact Info

Product

Resources

About