Routine Clinical Practice Effectiveness of the Glidescope in Difficult Airway Management

Abstract

Introduction:The Glidescope video laryngoscope has been shown to be a useful tool to improve laryngeal view. However, its role in the daily routine of airway management remains poorly characterized. Methods: This investigation evaluated the use of the Glidescope at two academic medical centers. Electronic records from 71,570 intubations were reviewed, and 2,004 cases were indentified where the Glidescope was used for airway management. We analyzed the success rate of Glidescope intubation in various intubation scenarios. In addition, the incidence and character of complications associated with Glidescope use were recorded. Predictors of Glidescope intubation failure were determined using a logistic regression analysis. Results: Overall success for Glidescope intubation was 97% (1,944 of 2,004). As a primary technique, success was 98% (1,712 of 1,755), whereas success in patients with predictors of difficult direct laryngoscopy was 96% (1,377 of 1,428). Success for Glidescope intubation after failed direct laryngoscopy was 94% (224 of 239). Complications were noticed in

Fibreoptic vs videolaryngoscopic (C-MAC®D-BLADE) nasal awake intubation under local anaesthesia

“…All of the patients would have agreed to the same technique if another nasal intubation became necessary in future. There was no significant difference in the anaesthetists' median (IQR [range]) satisfaction with the intubation techniques (videolaryngoscope 2 (1-2 [1-6]); fibreoptic intubation 2 (1-3 [1][2][3][4][5][6]), p = 0.34).…”

“…Over the last decade, numerous indirect laryngoscopes have been introduced into clinical practice and compared with the Macintosh laryngoscope [1][2][3][4][5][6][7]. Most studies have described a significantly better glottic view and a higher success rate in difficult tracheal intubations for the indirect laryngoscopes.…”

Airway management: “the times they are a-changin”

“…The threat of losing a skill (DL) that remains the most common successful rescue approach following failed indirect intubation attempts is a serious concern. [19][20][21] Again, whether using a tongue depressor, a DL, or a VL, get good at it and stay good!…”

Intraoperative Diagnosis and Use of Glidescope<sup>t</sup><sup>m</sup> Video Laryngoscope for Cephalic Tetanus

“…Despite this, the intubation with Glidescope TM video laryngoscopy (GVL) was remarkably easy. Glidescope TM video laryngoscopy has been shown to improve glottic view and intubation success in a number of studies [23][24][25][26][27]. One study identified GVL was 98% successful as a primary technique and GVL after failed DL was 94% successful in 2004 cases [27].…”