Video and Optic Laryngoscopy Assisted Tracheal Intubation – the New Era

Thong, Sze Ying; Lim, Yong Kuei

doi:10.1177/0310057x0903700213

Cited by 67 publications

(29 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These manipulations of the airway have adverse implications from significant hemodynamic disturbance, cervical instability, injury to oral and pharyngeal tissues, and dental damage. [10]…”

Section: Direct Versus Indirect Laryngoscopymentioning

confidence: 99%

“…A number of review articles have used different designations for classification of videolaryngoscopes. [1231016] The most commonly used classification is: Macintosh-modification, angulated blade, and tube/guide channel.…”

Section: Classificationmentioning

confidence: 99%

“…[2345] Despite a lack of clear evidence suggesting VL improves overall ETI success,[6789] VL has quickly become a well-established tool in the armamentarium of the anesthesiologist as well as other healthcare providers (e.g., emergency department, intensive care unit, and prehospital settings) involved in airway management. [1011]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Videolaryngoscopy

Chemsian

Bhananker

Ramaiah

2014

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

The approach to airway management has undergone a dramatic transformation since the advent of videolaryngoscopy (VL). Videolaryngoscopes have quickly gained popularity as an intubation device in a variety of clinical scenarios and settings, as well as in the hands of airway experts and non-experts. Their indirect view of upper airway improves glottic visualization, including in suspected or encountered difficult intubation. Yet, more studies are needed to determine whether VL actually improves endotracheal intubation (ETI) success rates, intubation times, and first attempt success rates; and thereby a potential replacement to traditional direct laryngoscopy. Furthermore, advances in technology have heralded a wide array of models each with their own strengths, weaknesses, and optimal applications. Such limitations need to be better understood and alternative strategies should be available. Thus, the role of VL continues to evolve. Though it is clear VL expands the armamentarium not only for anesthesiologists, but all healthcare providers potentially involved in airway management.

show abstract

“…These manipulations of the airway have adverse implications from significant hemodynamic disturbance, cervical instability, injury to oral and pharyngeal tissues, and dental damage. [10]…”

Section: Direct Versus Indirect Laryngoscopymentioning

confidence: 99%

Section: Classificationmentioning

confidence: 99%

See 1 more Smart Citation

Videolaryngoscopy

Chemsian

Bhananker

Ramaiah

2014

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

show abstract

“…The disadvantage of the AWS ® is that the P blade is 18 mm thick requiring a mouth opening of at least 25 mm[24] and it can only be used for awake intubation through oral route. In our view, the P blade takes up more space in the mouth and, therefore, requires good topical anaesthesia of the oral cavity to make it more tolerable to the awake patient.…”

Section: Discussionmentioning

confidence: 99%

Awake tracheal intubation using Pentax airway scope in 30 patients: A Case series

et al. 2014

View full text Add to dashboard Cite

Background and Aims:Pentax airway scope (AWS) has been successfully used for managing difficult intubations. In this case series, we aimed to evaluate the success rate and time taken to complete intubation, when AWS was used for awake tracheal intubation.Methods:We prospectively evaluated the use of AWS for awake tracheal intubation in 30 patients. Indication for awake intubation, intubation time, total time to complete tracheal intubation, laryngoscopic view (Cormack and Lehane grade), total dose of local anaesthetic used, anaesthetists rating and patient's tolerance of the procedure were recorded.Results:The procedure was successful in 25 out of the 30 patients (83%). The mean (standard deviation) intubation time and total time to complete the tracheal intubation was 5.4 (2.4) and 13.9 (3.7) min, respectively in successful cases. The laryngeal view was grade 1 in 24 and grade 2 in one of 25 successful intubations. In three out of the five patients where the AWS failed, awake tracheal intubation was successfully completed with the assistance of flexible fibre optic scope (FOS).Conclusion:Awake tracheal intubation using AWS was successful in 83% of patients. Success rate can be further improved using a combination of AWS and FOS. Anaesthesiologists who do not routinely use FOS may find AWS easier to use for awake tracheal intubation using an oral route.

show abstract

“…Most studies have shown that video laryngoscopy is beneficial in that it decreases cervical spine motion during intubation, improves glottic exposure, and increases the chance of first-pass success during difficult intubations compared to direct laryngoscopy (3)(4)(5)(6)(7)(8). Despite this evidentiary support, some believe that video laryngoscopy is not commonly used, and no prior study has evaluated its adoption by emergency departments (EDs) (9).…”

Section: Introductionmentioning

confidence: 99%