Review of videolaryngoscopy pharyngeal wall injuries

Greer, Devon; Marshall, Kathryn E.; Bevans, Scott E.; Standlee, Aurora G.; McAdams, Patricia; Harsha, Wayne J.

doi:10.1002/lary.26134

Cited by 49 publications

(51 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even the manufacturer of the GlideScope videolaryngoscope advocates the use of a special tracheal tube, the GlideRite ® tracheal tube (Highlands Ranch, CO), to address this troublesome (17). It has been shown that compared with the standard tracheal tube, the GlideRite ® tracheal tube significantly improves intubation with the GlideScope videolaryngoscope, as measured by decreased time for tube insertion and increased ease of tube insertion assessed by a visual analog scale (65). When videolaryngoscope with a channelled blade is used, obtaining an optimal view of the larynx is required because this can ensure that the tracheal tube is directed correctly through the guide channel towards the glottis.…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…Minor complications included lip or gum lacerations (n=13); more serious complications (n=6) are vocal cord trauma, tracheal injury, trauma to the hypopharynx, tonsillar perforation and two dental injuries (39). Even Greer et al's review of airway injuries in anesthesia records of the Madigan Army Medical Center shows that the rate of the upper airway injuries associated with videolaryngoscopy is significantly higher compared to direct laryngoscopy, suggesting that inherent design of videolaryngoscopy may contribute to the potential for upper airway injuries (65).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…Videolaryngoscopy Assisted Intubation reasons of airway injuries associated with videolaryngoscopy include (10,(65)(66)(67): a) The monitor may attract the operator's visual attention from the mouth; b) When the blade is inserted, upward force in order to expose the glottis may stretch the palatopharyngeal arch; c) The digital camera of a videolaryngoscope with angled blade is installed at a position close to the tip of the blade, resulting in a 'blind spots' on the lateral aspect of the blade. Due to the existence of a blind spot, when tracheal tube is advanced under videolaryngoscopy, the operator will lose direct sight of the tube tip until it comes into the camera's visual field, making it possible that airway mucosal trauma occurs.…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…To minimize the risk of airway injuries associated with videolaryngoscopy, the intubators should insert both the videolaryngoscope and the tracheal tube into the mouth under direct vision without using undue force (10,62,65,66). When performing intubation using a videolaryngoscope with sharply angulated blade, moreover, a useful four-step technique has been recommended (65,68).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…When performing intubation using a videolaryngoscope with sharply angulated blade, moreover, a useful four-step technique has been recommended (65,68).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

See 4 more Smart Citations

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

View full text Add to dashboard Cite

Aim of review:The aim of this article is to review the recent literatures regarding videolaryngoscopes, compare performance of videolaryngoscopy versus direct laryngoscopy, discuss the role of videolaryngoscopy in clinical airway management and provide the measures that can improve the performance of videolaryngoscopy and decrease complications associated with videolaryngoscopy. Methods: The literatures about the use of videolaryngoscopes in the clinical airway management, published in the past decades, were searched from the Pubmed and Cochrane databases and reviewed, in order to determine their performance, and identify their limitations and find appropriate alternate techniques to overcome their shortcomings and failures. Recent findings: Videolaryngoscopes are promising intubation devices, which are easy to use, and the skills involved are easy to obtain by either novices or experienced intubators. In the current practice, videolaryngoscopes are commonly used as main devices of predicted difficult airways and as rescue tools of difficult or failed direct laryngoscopy. For patients with difficult airways, videolaryngoscopy can provide an improved laryngeal visualization and achieve a higher intubation success rate compared with direct laryngoscopy. Moreover, videolaryngoscopy has the potential to increase patient safety by facilitating learning, teaching, and success of tracheal intubation. Despite the very good laryngeal visualization, the insertion and advancement of the tracheal tube with videolaryngoscopy may occasionally fail, and the airway injuries associated with videolaryngoscopy can occur. Summary: The introduction of videolaryngoscopy has resulted in a dramatic transformation of clinical airway management and is seen as the evolutionary step in intubation technology. There are several different types of videolaryngoscopes available. Each device's features may offer advantages or disadvantages, depending on the situation the anesthetist has to deal with. To get the best out of videolaryngoscopy, all anesthetists must be trained in the use of videolaryngoscopes and such devices should be available in all sites where tracheal intubation is performed.

show abstract

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

“…When performing intubation using a videolaryngoscope with sharply angulated blade, moreover, a useful four-step technique has been recommended (65,68).…”

Section: How To Get the Best Out Of Videolaryngoscopymentioning

confidence: 99%

See 3 more Smart Citations

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

View full text Add to dashboard Cite

show abstract

Video Laryngoscopy in the Intensive Care Unit

O’Gara

Brown

Talmor

2017

JAMA

View full text Add to dashboard Cite

Paratracheal abscess after traumatic tracheal intubation

Leader

Pate

2020

Anaesthesia Reports

View full text Add to dashboard Cite

Major complications of laryngoscopy and tracheal intubation are rare. However, mucosal trauma during airway management can lead to the introduction of oropharyngeal bacterial flora into the deep neck spaces, with the potential for fatal complications. This report describes the development of a paratracheal abscess in a healthy 62-year-old man following an outpatient herniorrhaphy. The patient was treated with intravenous antibiotics and underwent ultrasound-guided needle aspiration of the abscess. He was later re-admitted to the hospital with re-accumulation of the abscess, which was successfully treated by open surgical drainage. Though deep neck space infection following laryngoscopy is more common in patients with significant comorbidities and when tracheal intubation has been difficult, this case highlights the need for careful airway management in all patients.

show abstract

Review of videolaryngoscopy pharyngeal wall injuries

Abstract: Our data suggests that using video-assisted laryngoscopy for intubation puts a patient at significantly greater risk for injury compared to direct laryngoscopy. Laryngoscope, 2016 127:349-353, 2017.

Cited by 49 publications

References 27 publications

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Video Laryngoscopy in the Intensive Care Unit

Paratracheal abscess after traumatic tracheal intubation

Contact Info

Product

Resources

About