The Totaltrack<scp><sup>TM</sup></scp> video laryngeal mask: an evaluation in 300 patients

Gómez-Ríos, Manuel Ángel; Freire-Vila, Enrique; Casans‐Francés, Rubén; Pita-Fernández, Salvador

doi:10.1111/anae.14637

Cited by 22 publications

(11 citation statements)

References 37 publications

(40 reference statements)

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“…In a series of eleven patients, the TotalTrack served as a rescue device for oxygenation and tracheal intubation in failed laryngoscopic, videolaryngoscopic, or fiberoptic intubation [43]. Recent large prospective assessment of the device on 300 patients confirmed the previous studies, showing a 100% insertion success rate, 85% success of tracheal intubation at the first attempt, and all patients were intubated through the device after re-positioning [44].…”

Section: Clinical Evidencementioning

confidence: 79%

Optical Devices in Tracheal Intubation—State of the Art in 2020

et al. 2021

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The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools. Rigid and semi-rigid optical stylets represent another option in airway management. They offer benefits in restricted mouth opening and may be used also for retromolar intubation. Awake flexible fiberoptic intubation has been a gold standard in predicted difficult laryngoscopy for decades. Modern flexible bronchoscopes used in anesthesia and intensive care are disposable devices and contain optical lenses instead of fibers. Endotracheal tubes with an incorporated optics are used mainly in thoracic anesthesia for lung separation. They are available in double-lumen and single-lumen versions. They offer a benefit of direct view to the carina and do not require flexible fiberscope for their correct placement.

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Section: Clinical Evidencementioning

confidence: 79%

Optical Devices in Tracheal Intubation—State of the Art in 2020

et al. 2021

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“…We graded the images of 100 patients. Totaltrack mask can only visualize the glottis in 83% of patients [ 9 ]. LMA Ctrach, another video laryngeal mask, can expose the glottis in 85% of patients after manual adjustment [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Preliminary evaluation of SaCoVLM™ video laryngeal mask airway in airway management for general anesthesia

et al. 2022

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Background To preliminary evaluate the application of SaCoVLM™ video laryngeal mask airway in airway management of general anesthesia. Methods We recruited 100 adult patients (ages 18–78 years, male 19, female 81, weight 48–90 kg) with normal predicted airway (Mallampati I ~ II, unrestricted mouth opening, normal head and neck mobility) and ASA I-II who required general anaesthesia. The SaCoVLM™ was inserted after anesthesia induction and connected with the anesthesia machine for ventilation. Our primary outcome was glottic visualization grades. Secondary outcomes included seal pressure, success rate of insertion, intraoperative findings (gastric reflux and contraposition), gastric drainage and 24-h complications after operation. Results The laryngeal inlet was exposed in all the patients and shown on the video after SaCoVLM™ insertion. The status of glottic visualization was classified: grade 1 in 55 cases, grade 2 in 23 cases, grade 3 in 14 cases and grade 4 in 8 cases. The first-time success rate of SaCoVLM™ insertion was 95% (95% CI = 0.887 to 0.984), and the total success rate was 96% (95% CI = 0.901 to 0.989). The sealing pressure of SaCoVLM™ was 34.1 ± 6.2 cmH2O and the gastric drainage were smooth. Only a small number of patients developed mild complications after SaCoVLM™ was removed (such as blood stains on SaCoVLM™ and sore throat). Conclusions The SaCoVLM™ can visualize partial or whole laryngeal inlets during the surgery, with a high success rate, a high sealing pressure and smooth gastroesophageal drainage. SaCoVLM™ could be a promise new effective supraglottic device to airway management during general anesthesia. Trial registration ChiCTR,ChiCTR2000028802.Registered 4 January 2020.

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“…Both systems allow simultaneous ventilation and intubation under direct vision but lack the adaptability to the pharyngeal dimensions of the patient's anatomy. A recent study using the TotalTrack VLM on 300 patients showed glottic visualisation in 83% and first attempt successful intubation in 85% of the studied patient [22]. However no studies are available that compare this device with other SADs.…”

Section: Other Sads With Integrated Videoscopementioning

confidence: 99%

Features of new vision-incorporated third-generation video laryngeal mask airways

Zundert

Gatt

Zundert

et al. 2021

J Clin Monit Comput

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Numerous studies have shown that blindly inserted supraglottic airway devices (SADs) are sub-optimally placed in 50 to 80% of all cases. Placement under direct vision has been recommended. We describe the very first two new SADs of the third generation that incorporate a videoscope with flexible tip. Both devices are made up of two interlocking components-the SAD and a videoscope. The 3rd generation, direct vision SADs allow vision-guided insertion, corrective manoeuvres, if needed, and correct placement in the hypopharynx and possess additional features which permit insertion of a gastric tube and endotracheal intubation should the need arise. This article describes the two new devices' physical characteristics, features, rationale for use, advantages and limitations in comparison to existing devices. Each of the two new devices-the Video Laryngeal Mask (VLM TM , UE Medical®) and the SafeLM® Video Laryngeal Mask System (SafeLM TM VLMS, Magill Medical Technology®) consist of two parts: (a) a disposable 2nd generation SAD with a silicone cuff and an anatomically curved tube; and (b) a reusable patient-isolated videoscope and monitoring screen, with the flexible scope located into a specially-designed, blind-end channel terminating in the bowl of the SAD, preventing the videoscope from contacting patient body fluids in the SAD bowl. Third generation placement-under-direct-vision supraglottic airway devices possess several theoretical safety and ease of use advantages which now need to be validated in clinical use.

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The Totaltrack^TM video laryngeal mask: an evaluation in 300 patients

Cited by 22 publications

References 37 publications

Optical Devices in Tracheal Intubation—State of the Art in 2020

Optical Devices in Tracheal Intubation—State of the Art in 2020

Preliminary evaluation of SaCoVLM™ video laryngeal mask airway in airway management for general anesthesia

Features of new vision-incorporated third-generation video laryngeal mask airways

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The TotaltrackTM video laryngeal mask: an evaluation in 300 patients

Cited by 22 publications

References 37 publications

Optical Devices in Tracheal Intubation—State of the Art in 2020

Optical Devices in Tracheal Intubation—State of the Art in 2020

Preliminary evaluation of SaCoVLM™ video laryngeal mask airway in airway management for general anesthesia

Features of new vision-incorporated third-generation video laryngeal mask airways

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Product

Resources

About

The Totaltrack^TM video laryngeal mask: an evaluation in 300 patients