Teaching and supervising tracheal intubation in paediatric patients using videolaryngoscopy

Weiß, Markus; Schwarz, Uwe; Dillier, Claudia M.; Gerber, Andri

doi:10.1046/j.1460-9592.2001.00681.x

Cited by 70 publications

(59 citation statements)

References 13 publications

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“…By utilizing the video blade to visualize the larynx and immediate surrounding structures the endotracheal tube (with a stylet) was able to be advanced into the trachea. Similar to a study by Weiss et al [14] we see a role for the pediatric video laryngoscope in the education of residents and medical students. To start, the learner can begin to identify airway structures while an experienced laryngoscopist is performing tracheal intubation.…”

Section: Discussionsupporting

confidence: 76%

Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children

Chhibber¹

2014

J Anesth Clin Res

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Purpose: Video assisted laryngoscopy has been rapidly incorporated into the anesthesiologist's arsenal for challenging adult airway management. The development of pediatric video airway equipment presents an opportunity to expand upon the previous reliance on direct laryngoscopy alone. This study utilized the Storz DCI ® Video Laryngoscope which consists of a standard straight 0 and 1 blade combined with a 2.8 mm fiberoptic light bundle built into the left side of the blade. Method:The ease of use, best direct and video-assisted glottic view was documented for 50 infants and children less than 2 years of age. Direct laryngoscopy was performed with the naked eye (direct view). The best views obtained with and without external laryngeal manipulation were graded by the laryngoscopist without looking at the video monitor. The views on the video monitor, located in front of the intubator and to the right of the patient, were simultaneously graded independently by another pediatric anesthesiologist.Results: Fifty infants and children, ages ranging from one day to 22 months, were enrolled in the study. There were 37 males, and 13 females. The average age was 10.5 months. ASA physical status ranged from I to III, with the vast majority of patients being either class I or II. The grade of laryngeal view on the video monitor was significantly improved when compared with that of direct laryngoscopy (p<0.05). Conclusion:In our study the view on the monitor screen was, on average, one grade better than the direct view. In only one instance was the view obtained with the video laryngoscope worse than that obtained under direct vision. The magnified view provided by the video laryngoscope allows for better visualization of airway structures in difficult airways and further help in facilitating securing the airway.

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Section: Discussionsupporting

confidence: 76%

Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children

Chhibber¹

2014

J Anesth Clin Res

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“…The camera control unit and the light source were placed beside or behind the anesthesiologist and there was a LCD screen for observation. 15,16 Throughout the 20 th Century, numerous devices have been developed which attempt to improve visualization of the glottis and facilitate tracheal intubation. A few of these devices have made their way into clinical practice, but the majority that we have found are described only in patent applications and have not made a significant impact on clinical practice.…”

Section: Discussionmentioning

confidence: 99%

A new video laryngoscope—an aid to intubation and teaching

Kaplan

Ward

Berci

2002

Journal of Clinical Anesthesia

145

113

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“…6,7 Both experienced and inexperienced intubators find videolaryngoscopy easier and quicker than direct laryngoscopy in a difficult airway model. 8,9 Until recently, three videolaryngoscopes have been commercially available -the Glidescope® (Saturn Biomedical Inc, Burnaby, BC, Canada), the Macintosh VideoLaryngoscope (Karl Storz GmBH and Co., Tuttlingen, Germany) and the X-lite® (Rusch Inc., Tuttlingen, Germany).…”

Section: Résultats : Le Taux De Réussite Des Intubations Trachéales Pmentioning

confidence: 99%

Case series: The McGrath® videolaryngoscope — an initial clinical evaluation

Shippey

Ray

McKeown

2007

Can J Anesth/J Can Anesth

127

100

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Purpose: To document tracheal intubation success rates and airway instrumentation times using the newly designed McGrath® videolaryngoscope. Methods:We prospectively recorded factors associated with difficult tracheal intubation, factors causing actual difficulty in tracheal intubation, as well as complications arising from use of the new McGrath® videolaryngoscope in a series of adult patients with normal preoperative airway examinations. All patients were undergoing scheduled or elective surgery. In the first 75 patients (phase I), experience with airway instrumentation was documented, while in the second 75 patients (phase II), the time required to obtain an optimal view of the larynx was recorded, as well as the time to complete tracheal intubation.Results: Ninety-eight percent of all tracheal intubations were successful using the McGrath® videolaryngoscope. Cormack and Lehane grade I views were obtained in 143 patients (95%) and grade II views were achieved in six (4%). In phase II, the median time required to obtain an adequate view was 6.3 sec [interquartile range 4.7-8.7 (range 2-26.3)], and to complete tracheal intubation was 24.7 sec [18.5-34.4 (11.4-286)]. Fortynine (65%) of the tracheal intubations were completed within 30 sec, and 72 (96%) were completed within one minute. No complications were encountered in any patient. Conclusions: The McGrath® videolaryngoscope is an effective aid to airway management in patients with normal airways, based upon intubation success rates and the ability to rapidly secure the airway. Its potential advantages of convenience and portability warrant further evaluation in comparison with other airway devices and in patients with difficult airways. de 6,3 sec [écart interquartile 4,7-8,7 (écart 2-26,3)], et de 24,7 sec avant intubation trachéale complète [18,5-34,4 (11,4-286) Méthode : Nous avons enregistré, de façon prospective, les facteurs associés à une intubation trachéale difficile, ceux causant une difficulté réelle de l'intubation trachéale ainsi que les complications dues à l'utilisation du nouveau vidéolaryngoscope McGrath® chez une série de patients adultes présentant une anatomie des voies aériennes normales avant l'opération. Tous les patients devaient subir une chirurgie élective. Nous avons documenté notre expérience de prise en charge des voies aériennes chez les 75 premiers patients (Phase I) et, chez les 75 autres patients (Phase II), nous avons mesuré le temps requis jusqu'à obtention d'une visualisation optimale du larynx ainsi que le temps jusqu'à l'intubation trachéale complète. Résultats

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Teaching and supervising tracheal intubation in paediatric patients using videolaryngoscopy

Cited by 70 publications

References 13 publications

Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children

Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children

A new video laryngoscope—an aid to intubation and teaching

Case series: The McGrath® videolaryngoscope — an initial clinical evaluation

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