The effects of backward, upward, rightward pressure maneuver for intubation using the OptiscopeTM: a retrospective study

Oh, Sei-Hoon; Heo, Sang-kwon; Cheon, Seung-Uk; Ryu, Seung-Ah

doi:10.17085/apm.21026

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Since then, the clinical experiences of applying such intubating tools were slowly built up and became known for local anesthesiologists. Since then, few clinical reports have been publishedin Taiwan and Asia [118,[178][179][180][181][182][183][184][185]. It was not until 2016 that styletubation has been universally practiced for routine tracheal intubation in Hualien Tzuchi Medical Hospital (HTZGH).…”

Section: Time For Universal Practice Of Styletubation?mentioning

confidence: 99%

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Luk,

2024

Preprint

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Laryngoscopy for tracheal intubation has been developed for many decades. Among various conventional laryngoscopes, videolaryngoscopes (VL) have been applied in different patient populations, including difficult airways. The safety and effectiveness of VL have been repeatedly studied in both normal and difficult airways. The superiority of VL then has been observed and is advocated as the standard of care. In contrast to laryngoscopy, the development of video-assisted intubating stylet (VS, also named as styletubation) has been noticed two dec-ades ago. Since then, sporadic clinical experiences of use have appeared in literature. In this re-view article, we presented our vast use experiences of the styletubation (more than 55,000 pa-tients since 2016). We found this technique is swift (the time to intubate: from 3 s to 10 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satis-faction and fast learning curve for the novice trainees) in both normal and difficult airway sce-narios. We therefore propose styletubation technique can be feasibly applied as universal rou-tine use for tracheal intubation.

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Section: Time For Universal Practice Of Styletubation?mentioning

confidence: 99%

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Luk,

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Since then, the clinical experiences of applying such intubating tools slowly built up and became known for local anesthesiologists. Since then, few clinical reports have been published in Taiwan and Asia [118,[178][179][180][181][182][183][184][185]. It was not until 2016 that styletubation was universally practiced for routine tracheal intubation in Hualien Tzu Chi Medical Hospital (HTZGH).…”

Section: Time For Universal Practice Of Styletubation?mentioning

confidence: 99%

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Luk,

2024

Surgeries

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Laryngoscopy for tracheal intubation has been developed for many decades. Among various conventional laryngoscopes, videolaryngoscopes (VLs) have been applied in different patient populations, including difficult airways. The safety and effectiveness of VLs have been repeatedly studied in both normal and difficult airways. The superiority of VLs then has been observed and is advocated as the standard of care. In contrast to laryngoscopy, the development of video-assisted intubating stylet (VS, also named as styletubation) was noticed two decades ago. Since then, sporadic clinical experiences of use have appeared in the literature. In this review article, we presented our vast use experiences of the styletubation (more than 55,000 patients since 2016). We found this technique to be swift (the time to intubate from 3 s to 10 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satisfaction and fast learning curve for the novice trainees) in both normal and difficult airway scenarios. We, therefore, propose that the styletubation technique can be feasibly applied as universal routine use for tracheal intubation.

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Factors predicting the use of the backward upward rightward pressure maneuver in thyroid surgery: a single-center retrospective cohort study

Solmaz,

Özden

2024

BMC Surg

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Background The purpose of this study was to evaluate the predictability of utilizing the backward upward rightward pressure (BURP) maneuver and the efficacy of related tests in patients with a challenging airway and a Mallampati score of 2 or higher who underwent scheduled elective thyroid surgery. Methods Patient files were scanned for 300 adult patients who had undergone thyroid surgery under general anesthesia. The information included their medical history of thyroid disease, previous thyroid surgery, and evaluation tests for difficult intubation such as Mallampati score, maximum mouth opening, ease of intubation, thyroid goitre grade, and whether the BURP maneuver was performed. Patients who had a history of difficult intubation or a Cormack Lehane score less than 2 were excluded. Additionally, the patients were divided into two groups: one group underwent the BURP maneuver ( n = 78) and the other did not ( n = 56). Results Statistically significant differences in the maximum mouth openings and thyroid goitre grade were observed between the groups according to the preoperative evaluation. Furthermore, significant differences were noted between the groups in terms of the ease of intubation, intubation time, Cormack–Lehane score, and number of intubation attempts. Conclusion There may be a correlation between the maximum mouth opening and thyroid goitre grade in predicting the use of the BURP maneuver. It is important to keep in mind, however, that difficult intubation may occur in some uncommon types of goiter, such as retrosternal goiter, even if the thyroid gland size is small. Therefore, it may be useful to consider performing the BURP maneuver.

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The effects of backward, upward, rightward pressure maneuver for intubation using the OptiscopeTM: a retrospective study

Cited by 4 publications

References 17 publications

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Factors predicting the use of the backward upward rightward pressure maneuver in thyroid surgery: a single-center retrospective cohort study

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