Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope

Serocki, G.; Bein, Berthold; Scholz, Jens; Dörges, Volker

doi:10.1097/eja.0b013e32832d328d

Cited by 145 publications

(108 citation statements)

References 21 publications

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“…9 The LFS has an advantage over other indirect fibreoptic devices in this respect. The view produced by the LFS is at the tip of the stylet with the endotracheal tube preloaded on the stylet.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of the Levitan FPS Scope™ for tracheal intubation under general anesthesia with a simulated difficult airway

Kok

George

McKeen

et al. 2012

Can J Anesth/J Can Anesth

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Purpose Studies show that the Levitan FPS (first pass success) Scope TM (LFS) is analogous to a bougie in simulated difficult airways with comparable tracheal intubation success rates. In this study, the efficacy and safety of tracheal intubation with the LFS was compared with that of the Macintosh laryngoscope utilizing manual in-line stabilization (MILS) to simulate difficult airways. Methods Ninety-four subjects successfully completed the trial. Manual in-line stabilization of the cervical spine was applied and the initial laryngoscopy was performed using either the Macintosh or the LFS in conjunction with the Macintosh. Following the initial grading, a second laryngoscopy was repeated using the second randomized technique. Cormack-Lehane grades, percentage of glottic opening (POGO) scores, time to intubate, number of intubation attempts, and the use of alternate techniques were recorded. The anesthesiologist rated the subjective difficulty in using each technique with a numeric rating scale and a visual rating scale. Results There was no significant difference in the primary outcome ''good laryngoscopic views'' (CormackLehane grade 1 and 2) compared with ''poor laryngoscopic views'' (Cormack-Lehane grade 3 and 4) between the LFS and the Macintosh. There were higher POGO scores with the LFS compared with the Macintosh (80% vs 20%, respectively; P \ 0.0001), but this did not translate to easier intubations, as documented by the need for an alternate intubation technique or time to intubate (\30 and \ 60 sec, respectively). The incidence of mucosal trauma, sore throat, and hemodynamic responses did not differ significantly between the two techniques. Conclusion The LFS in conjunction with the Macintosh laryngoscope does not improve the efficacy or safety of tracheal intubation in a simulated difficult airway. RésuméObjectif Les e´tudes montrent que le Levitan FPS (first pass success) Scope TM (LFS) est semblable a`une bougie dans des simulations de voies ae´riennes difficiles, avec des taux de succe`s comparables pour l'intubations trache´ales re´ussies. Dans cette e´tude, l'efficacite´et l'innocuite´de l'intubation trache´ale avec le LFS a e´te´compare´e à une intubation avec un laryngoscope Macintosh dans le cas d'une stabilisation manuelle en ligne (MILS) pour simuler des voies ae´riennes difficiles.

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Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of the Levitan FPS Scope™ for tracheal intubation under general anesthesia with a simulated difficult airway

Kok

George

McKeen

et al. 2012

Can J Anesth/J Can Anesth

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“…In one representative study, use of the GlideScope led to an improved laryngeal view (94.4%) compared with the Storz DCI (63.8%, P Ͻ .001) in 120 adult subjects with at least one predictive feature of a difficult laryngoscopy. 90 Of this group, the number of subjects who could not be intubated within 2 attempts was one using the GlideScope, one with the Storz DCI, and 4 with a standard Macintosh laryngoscope. Some have argued that the view (Cormack-Lehane) obtained by direct laryngoscopy is not statistically comparable at all with that obtained using video laryngoscopy.…”

Section: Rigid Video Laryngoscopesmentioning

confidence: 99%

Direct and Indirect Laryngoscopy: Equipment and TechniquesDiscussion

Collins

2014

Respir Care

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“…FFB intubation is better performed with the assistance of a video magnification screen in the operating room. 15 In the ICU it is not always possible and must be done by direct vision in the FFB with a second observer device for the assistant Proper monitoring of electrocardiogram , oximetry, arterial pressure and capnography is always required.…”

Section: Common Indications For Endotracheal Intubation With Ffbmentioning

confidence: 99%

Endotracheal Intubation with Flexible Fiberoptic Bronchoscope (FFB) in Cases of Difficult Airway

Navarro¹,

Cicéro²,

Colli³

2012

Global Perspectives on Bronchoscopy

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Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope

Abstract: We conclude that the video laryngoscope and GlideScope in particular may be useful instruments in the management of the predicted difficult airway.

Cited by 145 publications

References 21 publications

Effectiveness and safety of the Levitan FPS Scope™ for tracheal intubation under general anesthesia with a simulated difficult airway

Effectiveness and safety of the Levitan FPS Scope™ for tracheal intubation under general anesthesia with a simulated difficult airway

Direct and Indirect Laryngoscopy: Equipment and TechniquesDiscussion

Endotracheal Intubation with Flexible Fiberoptic Bronchoscope (FFB) in Cases of Difficult Airway

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