The reasons 13/11/ Cost 2. Availability 3. Comparison 4. Complications 5. Knowledge. Pulmonary and critical care medicine (PCCM) fellows.

Size: px
Start display at page:

Download "The reasons 13/11/ Cost 2. Availability 3. Comparison 4. Complications 5. Knowledge. Pulmonary and critical care medicine (PCCM) fellows."

Transcription

1 The reasons Why shouldn t we use videolaryngoscope for routine intubation? Wariya Sukhupragarn, MD Associate Professor Department of Anesthesiology Faculty of Medicine, Chiang Mai University 1. Cost 2. Availability 3. Comparison 4. Complications 5. Knowledge Pulmonary and critical care medicine (PCCM) fellows. First-year residents in anesthesiology and intensive care 1

2 To sum up, in our manikin study, paramedics were able to perform endotracheal intubation in a shorter time and with more efficiency during the first attempt when they applied the Macintosh standard laryngoscope as compared with the PCD videolaryngoscope. BJA 2017 It is certainly possible that VL may slow down easy intubations, but in this and in other performance metrics it is unlikely that all VLs perform equally Our survey has shown that most UK hospitals now have at least one videolaryngoscope available. However, the results suggest that VL is used primarily as a rescue tool and rarely routinely. In addition, VL is increasingly less available in those locations where its use is likely to be more necessary COMPLICATIONS 2

3 GlideScope was used by an experienced staff anesthesiologist Intubation with a standard tip 8.0 ETT and malleable stylet was accomplished with difficulty after multiple attempts. 3

4 In our analysis, females with higher BMI contributed to the majority of injury cases, suggesting that using a smaller laryngoscope blade could reduce the potential for injury. Videolaryngoscopy introduces risk to intubation that is not shared by direct laryngoscopy KNOWLEDGE 4

5 Blind spot JCA 2010 The blade tip should be passed posterior to the epiglottis for laryngeal exposure, which is elevated directly to expose the glottis, as with other straight laryngoscopes. it is sometimes difficult to observe the epiglottis continuously because the camera is located beneath the blade tip. Consequently, the view of the epiglottis from the camera may be impeded by the blade tip and may result in undiagnosed epiglottis malposition. It is particularly important to confirm normal position of the epiglottis during withdrawal of the device to prevent this complication When this downfolding occurs, the epiglottis can become ischemic and edematous which may result in complete airway obstruction In order to facilitate the passage of the tip posterior to the epiglottis, the AWS blade should be passed along the posterior route through the airway, against the palate and posterior pharyngeal wall, as with the laryngeal mask airway insertion technique 5

6 Most of the difficulties encountered with DL are due to the inability to create an unobstructed line of sight, whereas GS failure is mostly attributed to the inability to accurately direct the ETT. Four preoperative predictors were significantly associated with GS failure: presence of airway pathology from local mass, previous surgery, reduced spinal motion, and radiation GS intubations, lengthier intubation time and multiple attempts. These variables included upper lip bite test score, sternothyroid distance, and Cormack-Lehane system class Having the VL in our airway arsenal is a great supplement, but the relative ease of use, steep learning curve greater intubation success rate creating false self-confidence reduced mastery of alternative airway skills including fiberoptic intubation. No single airway device or technique is successful in every clinical scenario The awake technique for controlling the airway in anticipated difficult airways is still the gold standard 6

7 We found statistically fewer failed intubations when a VLS was used in participants who presented with an anticipated difficult airway or a simulated difficult airway, but no difference in the number of failed intubations for participants who presented without an anticipated difficult airway Think about 1. Cost 2. Availability 3. Comparison 4. Complications 5. Knowledge THANK YOU 7

Displacement of the epiglottis during intubation with the Pentax-AWS Airway Scope. Suzuki, Akihiro ; Katsumi, Norifumi ; Honda, Takashi ; Sasakawa,

Displacement of the epiglottis during intubation with the Pentax-AWS Airway Scope. Suzuki, Akihiro ; Katsumi, Norifumi ; Honda, Takashi ; Sasakawa, AMCoR Asahikawa Medical University Repository http://amcor.asahikawa-med.ac.jp/ Journal of Anesthesia (2010) 24(1): 124-127. Displacement of the epiglottis during intubation with the Pentax-AWS Airway

More information

ISPUB.COM. The Video-Intubating Laryngoscope. M Weiss THE LARYNGOSCOPE INTRODUCTION TECHNICAL DESCRIPTION

ISPUB.COM. The Video-Intubating Laryngoscope. M Weiss THE LARYNGOSCOPE INTRODUCTION TECHNICAL DESCRIPTION ISPUB.COM The Internet Journal of Anesthesiology Volume 3 Number 1 M Weiss Citation M Weiss.. The Internet Journal of Anesthesiology. 1998 Volume 3 Number 1. Abstract A Macintosh intubating laryngoscope

More information

Clinical Study McGrath Video Laryngoscope May Take a Longer Intubation Time Than Macintosh Laryngoscope

Clinical Study McGrath Video Laryngoscope May Take a Longer Intubation Time Than Macintosh Laryngoscope Anesthesiology Volume 2015, Article ID 901903, 4 pages http://dx.doi.org/10.1155/2015/901903 Clinical Study McGrath Video Laryngoscope May Take a Longer Intubation Time Than Macintosh Laryngoscope Prerana

More information

Video Laryngoscopy and its future in Airway Management

Video Laryngoscopy and its future in Airway Management Video Laryngoscopy and its future in Airway Management Dr Jayaram K Dasan FRCA King s College Hospital, King s Health Partner, London, UK Page 1 Overview Introduction NAP4 DL Vs VLS VLS Mechanics Classification

More information

Comparison. F Agro immobilization. to DL Trauma/SCI. GS experiences. to other. GS experiences. GS experiences. to DL.

Comparison. F Agro immobilization. to DL Trauma/SCI. GS experiences. to other. GS experiences. GS experiences. to DL. Page. Tracheal using a Macintosch The Cormack grading in 14 of the 15 patients laryngoscope or a GlideScope in 15 (93%) was reduced by one using the GlideScope. 1 patients with cervical spine The average

More information

Anesthetic challenges when elective case becomes emergent

Anesthetic challenges when elective case becomes emergent Anesthetic challenges when elective case becomes emergent Shridevi Pandya Shah MD Asst Professor Dept of Anesthesiology Rutgers-NJMS Rutgers, The State University of New Jersey Conflicts of interest: none

More information

Original Contributions

Original Contributions doi:10.1016/j.jemermed.2011.06.007 The Journal of Emergency Medicine, Vol. 42, No. 6, pp. 629 634, 2012 Published by Elsevier Inc. Printed in the USA 0736-4679/$ - see front matter Original Contributions

More information

INFORMED CONSENT FOR publication of the present

INFORMED CONSENT FOR publication of the present Acute Medicine & Surgery 2015; 2: 138 142 doi: 10.1002/ams2.88 Brief Communication Comparison of the conventional Macintosh laryngoscope, the Pentax Airwayscope, and the McGrath MAC video laryngoscope

More information

LEVITAN S FIBREOPTIC STYLET: BEYOND BARRIERS. - Our Perspective.

LEVITAN S FIBREOPTIC STYLET: BEYOND BARRIERS. - Our Perspective. ISSN: 2250-0359 Volume 3 Issue 4 2013 LEVITAN S FIBREOPTIC STYLET: BEYOND BARRIERS - Our Perspective. Justin Ebenezer Sargunaraj * Dr.Balasubramaniam Thiagarajan * *Stanley Medical College ABSTRACT: This

More information

Educational Session: Evaluation and Management of the Difficult Airway

Educational Session: Evaluation and Management of the Difficult Airway Educational Session: Evaluation and Management of the Difficult Airway Diane M. Birnbaumer, MD, FACEP 3/24/2010 7:30 AM - 8:30 AM The Difficult Airway What s Up YOUR Sleeve? Diane M. Birnbaumer, M.D.,

More information

DIFFICULT AIRWAY MANAGMENT. Dr.N.SANTHOSH KUMAR MD ANESTHESIA (2 nd Yr)

DIFFICULT AIRWAY MANAGMENT. Dr.N.SANTHOSH KUMAR MD ANESTHESIA (2 nd Yr) DIFFICULT AIRWAY MANAGMENT Dr.N.SANTHOSH KUMAR MD ANESTHESIA (2 nd Yr) AIRWAY MANAGEMENT AND MAINTAINING OXYGENATION ARE THE FUNDAMENTAL RESPONSIBILITIES OF ANY BASIC DOCTOR. TO MANAGE A DIFFICULT AIRWAY,

More information

Disclosures. Overview. Difficult Airway Mgmt. Airway Evaluation and Management: Recent advances. No financial, consulting, contractual relationships

Disclosures. Overview. Difficult Airway Mgmt. Airway Evaluation and Management: Recent advances. No financial, consulting, contractual relationships Airway Evaluation and Management: Recent advances Disclosures No financial, consulting, contractual relationships Sachin Kheterpal MD MBA Assistant Professor Department of Anesthesiology University of

More information

Comparison of two methods of gum elastic bougie aided endotracheal intubation using Airtraq video laryngoscope

Comparison of two methods of gum elastic bougie aided endotracheal intubation using Airtraq video laryngoscope Comparison of two methods of gum elastic bougie aided endotracheal intubation using Airtraq video laryngoscope S Muhamed 1, PK Narasimha 2, S Mathew 2*, A Nileshwar 3, AK Handigodu Duggappa 2, DC Nanjundegowda

More information

The Superiority Of Mcgrath Videolaryngoscope After Failed Conventional Laryngoscopy

The Superiority Of Mcgrath Videolaryngoscope After Failed Conventional Laryngoscopy ISPUB.COM The Internet Journal of Anesthesiology Volume 33 Number 1 The Superiority Of Mcgrath Videolaryngoscope After Failed Conventional Laryngoscopy S Karaman, S Arici, S Dogru, T Karaman, H Tapar,

More information

British Journal of Anaesthesia 100 (4): (2008) doi: /bja/aen002 Advance Access publication January 31, 2008

British Journal of Anaesthesia 100 (4): (2008) doi: /bja/aen002 Advance Access publication January 31, 2008 RESPIRATION AND THE AIRWAY Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: a randomized comparative

More information

Airway Anatomy. Soft palate. Hard palate. Nasopharynx. Tongue. Oropharynx. Hypopharynx. Thyroid cartilage

Airway Anatomy. Soft palate. Hard palate. Nasopharynx. Tongue. Oropharynx. Hypopharynx. Thyroid cartilage Airway Anatomy Hard palate Soft palate Tongue Nasopharynx Oropharynx Hypopharynx Thyroid cartilage Airway Anatomy Hyoid bone Thyroid cartilage Cricoid cartilage Trachea Cricothyroid membrane Airway Anatomy

More information

In 2011 I received an unrestricted lecture honorarium from Ambu I have been loaned equipment by Intavent Direct (Teleflex) and Aircraft Medical As an

In 2011 I received an unrestricted lecture honorarium from Ambu I have been loaned equipment by Intavent Direct (Teleflex) and Aircraft Medical As an Alistair McNarry In 2011 I received an unrestricted lecture honorarium from Ambu I have been loaned equipment by Intavent Direct (Teleflex) and Aircraft Medical As an organiser of airway workshops I have

More information

Published online 2015 December 5. Research Article

Published online 2015 December 5. Research Article Anesth Pain Med. 2015 December; 5(6): e32299. Published online 2015 December 5. doi: 10.5812/aapm.32299 Research Article Comparison of Tracheal Intubation Using the Storz s C-Mac D-blade TM Video-Laryngoscope

More information

Comparison of the Airtraq to the Bonfils Fibroscope for Endotracheal Intubation in a Simulated Difficult Airway

Comparison of the Airtraq to the Bonfils Fibroscope for Endotracheal Intubation in a Simulated Difficult Airway Med. J. Cairo Univ., Vol. 77, No. 4, June: 203-207, 2009 www.medicaljournalofcairouniversity.com Comparison of the Airtraq to the Bonfils Fibroscope for Endotracheal Intubation in a Simulated Difficult

More information

How do you use a bougie as an airway adjunct for endotracheal intubation?

How do you use a bougie as an airway adjunct for endotracheal intubation? Ruth Bird, MBBCh -Specialist Registrar: Anaesthesia & Paediatric Trauma Fellow Daniel Nevin, MBBCh -Consultant in Anaesthesia & Pre-Hospital Care The Royal London Hospital London s Air Ambulance (HEMS)

More information

Difficult Airway. Victor M. Gomez, M.D. Pulmonary Critical Care Medicine Medical City Dallas Hospital

Difficult Airway. Victor M. Gomez, M.D. Pulmonary Critical Care Medicine Medical City Dallas Hospital Difficult Airway Victor M. Gomez, M.D. Pulmonary Critical Care Medicine Medical City Dallas Hospital Difficult Airway Definition Predicting a difficult airway Preparing for a difficult airway Extubation

More information

Comparison of laryngoscopy and intubating conditions using kings vision laryngoscope and C-MAC video laryngoscope

Comparison of laryngoscopy and intubating conditions using kings vision laryngoscope and C-MAC video laryngoscope Original Research Article DOI: 10.18231/2394-4994.2018.0052 Comparison of laryngoscopy and intubating conditions using kings vision laryngoscope and C-MAC video laryngoscope Sarika M. Shetty 1, Vyshnavi

More information

Endotracheal intubation with airtraq W versus storz W videolaryngoscope in children younger than two years - a randomized pilot-study

Endotracheal intubation with airtraq W versus storz W videolaryngoscope in children younger than two years - a randomized pilot-study Sørensen and Holm-Knudsen BMC Anesthesiology 2012, 12:7 RESEARCH ARTICLE Open Access Endotracheal intubation with airtraq W versus storz W videolaryngoscope in children younger than two years - a randomized

More information

Dr.Bharghavi.M 2 nd year post graduate Dept of Anaesthesia

Dr.Bharghavi.M 2 nd year post graduate Dept of Anaesthesia DIFFICULT AIRWAY CANNOT VENTILATE, CANNOT INTUBATE. Dr.Bharghavi.M 2 nd year post graduate Dept of Anaesthesia Difficult airway According to AMERICAN SOCIETY OF ANAESTHESIOLOGISTS Difficult Airway is defined

More information

Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel?

Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel? Clinical Research Article Korean J Anesthesiol 21 July 59(1): 17-21 DOI: 1.497/kjae.21.59.1.17 Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel? Sang-Jin Park, Won

More information

Airway/Breathing. Chapter 5

Airway/Breathing. Chapter 5 Airway/Breathing Chapter 5 Airway/Breathing Introduction Skillful, rapid assessment and management of airway and ventilation are critical to preventing morbidity and mortality. Airway compromise can occur

More information

Advanced Airway Management. University of Colorado Medical School Rural Track

Advanced Airway Management. University of Colorado Medical School Rural Track Advanced Airway Management University of Colorado Medical School Rural Track Advanced Airway Management Basic Airway Management Airway Suctioning Oxygen Delivery Methods Laryngeal Mask Airway ET Intubation

More information

Author s response to reviews

Author s response to reviews Author s response to reviews Title: Comparison of VividTrac, Airtraq, King Vision, Macintosh Laryngoscope and a Custom-Made Videolaryngoscope for Difficult and Normal Airways in Mannequins by Novices Authors:

More information

Omiros Chalkeidis*, Georgios Kotsovolis, Apostolos Kalakonas, Maria Filippidou, Christos Triantafyllou, Dimitris Vaikos, Epaminondas Koutsioumpas

Omiros Chalkeidis*, Georgios Kotsovolis, Apostolos Kalakonas, Maria Filippidou, Christos Triantafyllou, Dimitris Vaikos, Epaminondas Koutsioumpas Acta Anaesthesiol Taiwan 2010;48(1):15 20 ORIGINAL ARTICLE A Comparison Between the Airtraq and Macintosh Laryngoscopes for Routine Airway Management by Experienced Anesthesiologists: A Randomized Clinical

More information

Optimising tracheal intubation success rate using the Airtraq laryngoscope

Optimising tracheal intubation success rate using the Airtraq laryngoscope doi:10.1111/j.1365-2044.2008.05757.x APPARATUS Optimising tracheal intubation success rate using the Airtraq laryngoscope G. Dhonneur, 1 W. Abdi, 2 R. Amathieu, 2 S. Ndoko 2 and L. Tual 2 1 Professor,

More information

Difficult Airway. Department of Anesthesiology University of Colorado Health Sciences Center (prepared by Brenda A. Bucklin, M.D.)

Difficult Airway. Department of Anesthesiology University of Colorado Health Sciences Center (prepared by Brenda A. Bucklin, M.D.) Difficult Airway Department of Anesthesiology University of Colorado Health Sciences Center (prepared by Brenda A. Bucklin, M.D.) Objectives Definition & incidence of the difficult airway Evaluation of

More information

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study

Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study British Journal of Anaesthesia 107 (6): 983 8 (2011) Advance Access publication 22 September 2011. doi:10.1093/bja/aer295 RESPIRATION AND THE AIRWAY Randomized controlled trial of the A.P. Advance, McGrath,

More information

9/20/18. Airway Assessment & Evaluation. Winner PGA 2003: Best Exhibit for Clinical Application

9/20/18. Airway Assessment & Evaluation. Winner PGA 2003: Best Exhibit for Clinical Application The SLAM Universal Emergency Airway Flowchart SLAM Rescue Airway Flowchart James M. Rich, CRNA, MA Department of Anesthesiology & Pain Management Baylor University Medical Center, Dallas, TX www.slamairway.com

More information

A systematic review of the role of videolaryngoscopy in successful orotracheal intubation

A systematic review of the role of videolaryngoscopy in successful orotracheal intubation Healy et al. BMC Anesthesiology 2012, 12:32 RESEARCH ARTICLE A systematic review of the role of videolaryngoscopy in successful orotracheal intubation David W Healy *, Oana Maties, David Hovord and Sachin

More information

British Journal of Anaesthesia 101 (6): (2008) doi: /bja/aen288 Advance Access publication October 3, 2008

British Journal of Anaesthesia 101 (6): (2008) doi: /bja/aen288 Advance Access publication October 3, 2008 British Journal of Anaesthesia 101 (6): 863 9 (2008) doi:10.1093/bja/aen288 Advance Access publication October 3, 2008 RESPIRATION AND THE AIRWAY Airway Scope and gum elastic bougie with Macintosh laryngoscope

More information

Cronicon ANAESTHESIA. Khaled Mohammed Elnaghy 1 and Javier Yuste 2 * Abstract. Keywords: Intubation; Video laryngoscopes; GlideScope; LMA CTrach

Cronicon ANAESTHESIA. Khaled Mohammed Elnaghy 1 and Javier Yuste 2 * Abstract. Keywords: Intubation; Video laryngoscopes; GlideScope; LMA CTrach Cronicon OPEN ACCESS Khaled Mohammed Elnaghy 1 and Javier Yuste 2 * 1 Department of Anesthesia, sin Shams university Cairo, Egypt 1 Department of Anesthesia, Sulaiman Alhabib hospital, Riyadh, Saudi Arabia

More information

The Glidescope Ò system: a clinical assessment of performance

The Glidescope Ò system: a clinical assessment of performance Anaesthesia, 2005, 60, pages 60 64 APPARATUS The Glidescope Ò system: a clinical assessment of performance M. R. Rai, 1 A. Dering 1 and C. Verghese 2 1 Specialist Registrars, 2 Consultant, Department of

More information

Comparison between C-MAC video-laryngoscope and Macintosh direct laryngoscope during cervical spine immobilization

Comparison between C-MAC video-laryngoscope and Macintosh direct laryngoscope during cervical spine immobilization Comparison between C-MAC video-laryngoscope and Macintosh direct laryngoscope during cervical spine immobilization Shahir HM Akbar * and Joanna SM Ooi ** Abstract Background: Video-laryngoscopes have gained

More information

Comparison of upper lip bite test with modified mallampati classification for prediction of difficult obstetric intubation

Comparison of upper lip bite test with modified mallampati classification for prediction of difficult obstetric intubation ISPUB.COM The Internet Journal of Anesthesiology Volume 19 Number 1 Comparison of upper lip bite test with modified mallampati classification for prediction of difficult S Mishra, R Bhat, S K., M Nagappa,

More information

Airway Workshop Lecture. University of Ottawa

Airway Workshop Lecture. University of Ottawa Airway Workshop Lecture Department of Anesthesiology University of Ottawa Overview Ventilation Airway assessment Difficult airways Airway management equipment aids Intubation/Improving Intubation Success

More information

The Mallampati Test versus the Upper Lip Bite Test in Predicting Difficult Intubation. Chance Buttars BSN, BA Bryan College of Health Sciences

The Mallampati Test versus the Upper Lip Bite Test in Predicting Difficult Intubation. Chance Buttars BSN, BA Bryan College of Health Sciences 1 The Mallampati Test versus the Upper Lip Bite Test in Predicting ifficult Intubation Chance Buttars BSN, BA Bryan College of Health Sciences Keywords: Airway assessment, Mallampati test, upper lip bite

More information

Difficult Airway Management during Anesthesia: A Review of the Incidence and Solutions

Difficult Airway Management during Anesthesia: A Review of the Incidence and Solutions Review Article imedpub Journals http://www.imedpub.com/ Journal of Anaesthesiology and Critical Care Difficult Airway Management during Anesthesia: A Review of the Incidence and Solutions Zhiyong Zeng

More information

ORIGINAL ABSTRACT. Introduction Endotracheal intubation may be challenging, SIGNA VITAE 2011; 6(2): LAURENCE C. TORSHER

ORIGINAL ABSTRACT. Introduction Endotracheal intubation may be challenging, SIGNA VITAE 2011; 6(2): LAURENCE C. TORSHER SIGNA VITAE ; 6(): 6 - ORIGINAL A prospective randomized high fidelity simulation center based side-by-side comparison analyzing the success and ease of conventional versus new generation video laryngoscope

More information

Hemodynamic response to laryngoscopy in ischemic heart disease: Macintosh blade versus GlideScope videolaryngoscope

Hemodynamic response to laryngoscopy in ischemic heart disease: Macintosh blade versus GlideScope videolaryngoscope Original Article Hemodynamic response to laryngoscopy in ischemic heart disease: Macintosh blade versus GlideScope videolaryngoscope Eisa Bilehjani, Solmaz Fakhari ABSTRACT Objective To determine the hemodynamic

More information

Research Article Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians

Research Article Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians Emergency Medicine International Volume 2013, Article ID 407547, 6 pages http://dx.doi.org/10.1155/2013/407547 Research Article Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation

More information

British Journal of Anaesthesia 102 (1): (2009) doi: /bja/aen342

British Journal of Anaesthesia 102 (1): (2009) doi: /bja/aen342 RESPIRATION AND THE AIRWAY Comparison of the Glidescope w, the Pentax AWS w, and the Truview EVO2 w with the Macintosh laryngoscope in experienced anaesthetists: a manikin study M. A. Malik 12, C. O Donoghue

More information

THE Glidescope video laryngoscope (GVL; Verathon

THE Glidescope video laryngoscope (GVL; Verathon Routine Clinical Practice Effectiveness of the Glidescope in Difficult Airway Management An Analysis of 2,004 Glidescope Intubations, Complications, and Failures from Two Institutions Michael F. Aziz,

More information

LARYNGOSCOPE IN MYASTHENIA GRAVIS PATIENTS

LARYNGOSCOPE IN MYASTHENIA GRAVIS PATIENTS TRACHEAL INTUBATION USING McGRATH VIDEO LARYNGOSCOPE IN MYASTHENIA GRAVIS PATIENTS Venkata Sesha Sai Krishna Manne, Madhavi Latha Marupudi 2, Surendranath Yelavarthy HOW TO CITE THIS ARTICLE: Venkata Sesha

More information

Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway

Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway ORIGINAL ARTICLE Comparative Evaluation of Performance of Videolaryngoscope 10.5005/jp-journals-10050-10064 vs Fastrach Intubating LMA Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach

More information

Incidence and predictors of difficult mask ventilation and intubation

Incidence and predictors of difficult mask ventilation and intubation Original Article Incidence and predictors of difficult mask ventilation and intubation Prerana N Shah, Vimal Sundaram Department of Anaesthesiology, Seth G S Medical College and KEM Hospital, Parel, Mumbai

More information

A comparison between the GlideScope Ò Video Laryngoscope and direct laryngoscope in paediatric patients with difficult airways a pilot study

A comparison between the GlideScope Ò Video Laryngoscope and direct laryngoscope in paediatric patients with difficult airways a pilot study doi:10.1111/j.1365-2044.2010.06294.x ORIGINAL ARTICLE A comparison between the GlideScope Ò Video Laryngoscope and direct laryngoscope in paediatric patients with difficult airways a pilot study C. Karsli,

More information

The LMA CTrach TM, a new laryngeal mask airway for endotracheal intubation under vision: evaluation in 100 patients

The LMA CTrach TM, a new laryngeal mask airway for endotracheal intubation under vision: evaluation in 100 patients British Journal of Anaesthesia 96 (3): 396 400 (2006) doi:10.1093/bja/ael001 Advance Access publication January 16, 2006 The LMA CTrach TM, a new laryngeal mask airway for endotracheal intubation under

More information

Provision of General Anesthesia Out of Hospital: Perspective from The Americas. Anthony Charles Caputo

Provision of General Anesthesia Out of Hospital: Perspective from The Americas. Anthony Charles Caputo Provision of General Anesthesia Out of Hospital: Perspective from The Americas Anthony Charles Caputo Welcome!! A Little About Me President, Southwest Dental Anesthesia Services Past President, American

More information

Clinical Study Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy

Clinical Study Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy Hindawi Publishing Corporation Anesthesiology Research and Practice Volume 2012, Article ID 820961, 5 pages doi:10.1155/2012/820961 Clinical Study Evaluation of the GlideScope Direct: A New Video Laryngoscope

More information

Angkana Lurngnateetape,, MD. Department of Anesthesiology Siriraj Hospital

Angkana Lurngnateetape,, MD. Department of Anesthesiology Siriraj Hospital AIRWAY MANAGEMENT Angkana Lurngnateetape,, MD. Department of Anesthesiology Siriraj Hospital Perhaps the most important responsibility of the anesthesiologist is management of the patient s airway Miller

More information

Equipment: NRP algorithm, MRSOPA table, medication chart, SpO 2 table Warm

Equipment: NRP algorithm, MRSOPA table, medication chart, SpO 2 table Warm NRP Skills Stations Performance Skills Station OR Integrated Skills Station STATION: Assisting with and insertion of endotracheal tube (ETT) Equipment: NRP algorithm, MRSOPA table, medication chart, SpO

More information

NiravKotak 1, Abhishek Kesarwani 2 1

NiravKotak 1, Abhishek Kesarwani 2 1 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 3 Ver. 2 March. (2018), PP 19-25 www.iosrjournals.org A Randomized Prospective Study To Compare

More information

Exclusion Criteria 1. Operator or supervisor feels specific intra- procedural laryngoscopy device will be required.

Exclusion Criteria 1. Operator or supervisor feels specific intra- procedural laryngoscopy device will be required. FELLOW Study Data Analysis Plan Direct Laryngoscopy vs Video Laryngoscopy Background Respiratory failure requiring endotracheal intubation occurs in as many as 40% of critically ill patients. Procedural

More information

Samal et al: Comparison of the Macintosh and Airtraq Laryngoscope

Samal et al: Comparison of the Macintosh and Airtraq Laryngoscope Original Article A comparative study of tracheal intubation characteristics using Macintosh and Airtraq laryngoscope Samal RK 1, Kundu R 2, Ghosh M 3, Singha S 4 1 Dr Rajiv Kumar Samal Assistant Professor

More information

F : Thong SY, Goh SY. Reported complications associated with the use of GlideScope video. video laryngoscope How can they be prevented?

F : Thong SY, Goh SY. Reported complications associated with the use of GlideScope video. video laryngoscope How can they be prevented? Equipment Page 1 of 6 Reported complications associated with the use of GlideScope video laryngoscope How can they be prevented? SY Thong*, SY Goh Abstract Introduction The use of the GlideScope video

More information

Hong Kong Journal of Emergency Medicine. KL Tsui, CY Hung, CW Kam. t p= p=0.004

Hong Kong Journal of Emergency Medicine. KL Tsui, CY Hung, CW Kam. t p= p=0.004 Hong Kong Journal of Emergency Medicine A manikin study to compare video-optical intubation stylet versus Macintosh laryngoscope used by novice in normal and simulated difficult airway intubation KL Tsui,

More information

CAN DIFFICULT INTUBATION BE ACCURATELY PREDICTED USING UPPER LIP BITE TEST? ABSTRACT

CAN DIFFICULT INTUBATION BE ACCURATELY PREDICTED USING UPPER LIP BITE TEST? ABSTRACT ORIGINAL ARTICLE CAN DIFFICULT INTUBATION BE ACCURATELY PREDICTED USING UPPER LIP BITE TEST? Azmat Ali Shah 1, Khalid Rafique 2, Mujahid Islam 3 1 Department of Anesthesia, Aga Khan Hospital, Dar es Salaam

More information

(ix) Difficult & Failed Intubation Queen Charlotte s Hospital

(ix) Difficult & Failed Intubation Queen Charlotte s Hospital (ix) Difficult & Failed Intubation Queen Charlotte s Hospital Pre-operative Assessment Clinical assessment of airway and risk of difficult intubation: (can be performed in a matter of seconds): 1. Mouth

More information

Pre anaesthetic evaluation of difficult tracheal intubation

Pre anaesthetic evaluation of difficult tracheal intubation Pre anaesthetic evaluation of difficult tracheal intubation Dr. AL. Meenakshi Sundaram M.D., D.A., GC Member,ISA National Professor of Anesthesiology Thanjavur Medical College Thanjavur, TamilNadu Phone:

More information

GlideScope Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms

GlideScope Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms GlideScope Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms Patrick N. Olomu 1, Asif Khan 1, Jeffrey Steiner 1, Edgar Kiss 1, Roxana Ploski 1, and Peter Szmuk 1,2 ABSTRACT

More information

Haemodynamic response to orotracheal intubation: direct laryngoscopy versus fiberoptic bronchoscopy

Haemodynamic response to orotracheal intubation: direct laryngoscopy versus fiberoptic bronchoscopy Haemodynamic response to orotracheal intubation: direct laryngoscopy versus fiberoptic bronchoscopy Amir Murad Khudad* Hoshyar Najeeb Karem** ABSTRACT Background and Objectives: The cardiovascular response

More information

The era of video laryngoscopy has entered its second decade. Video Laryngoscopy: A Debate

The era of video laryngoscopy has entered its second decade. Video Laryngoscopy: A Debate PRINTER-FRIENDLY VERSION AT ANESTHESIOLOGYNEWS.COM Video Laryngoscopy: A Debate 30 Laryngoscopic Skills Should Be Taught Using Video Devices 32 Video Laryngoscopy: Too Much, Too Soon! 33 Using the GlideScope

More information

AN ALGORITHM FOR EASY INTUBATION. COMBINED USE OF THE MACINTOSH LARYNGOSCOPE AND FLEXIBLE BRONCHOSCOPE IN UNEXPECTED DIFFICULT INTUBATION

AN ALGORITHM FOR EASY INTUBATION. COMBINED USE OF THE MACINTOSH LARYNGOSCOPE AND FLEXIBLE BRONCHOSCOPE IN UNEXPECTED DIFFICULT INTUBATION Acta Medica Mediterranea, 2013, 29: 437 AN ALGORITHM FOR EASY INTUBATION. COMBINED USE OF THE MACINTOSH LARYNGOSCOPE AND FLEXIBLE BRONCHOSCOPE IN UNEXPECTED DIFFICULT INTUBATION FRANCESCO SGALAMBRO*, ANGELO

More information

Video laryngoscopy in paediatric anaesthesia in South Africa

Video laryngoscopy in paediatric anaesthesia in South Africa Video laryngoscopy in paediatric anaesthesia in South Africa Abstract Nienaber LN, MBChB, MMed, FCA(SA) Department of Paediatric Anaesthesia Steve Biko Academic Hospital, University of Pretoria Correspondence

More information

PREDICTORS OF DIFFICULT INTUBATION: STUDY IN KASHMIRI POPULATION

PREDICTORS OF DIFFICULT INTUBATION: STUDY IN KASHMIRI POPULATION Original article Pravara Med Rev 2009; 1(4) PREDICTORS OF DIFFICULT INTUBATION: STUDY IN KASHMIRI POPULATION Gupta A K, Ommid Mohamad, Nengroo Showkat, Naqash Imtiyaz, Mehta Anjali ABSTRACT Airway assessment

More information

Comparison of the Berman Intubating Airway and the Williams Airway Intubator for fibreoptic orotracheal intubation in anaesthetised patients.

Comparison of the Berman Intubating Airway and the Williams Airway Intubator for fibreoptic orotracheal intubation in anaesthetised patients. Title Comparison of the Berman Intubating Airway and the Williams Airway Intubator for fibreoptic orotracheal intubation in anaesthetised patients Author(s) Greenland, KB; Ha, ID; Irwin, MG Citation Anaesthesia,

More information

9/20/18. Ear To Sternal Notch. Primary Methods to Rescue & Prevent Failed Intubation. Ear to Sternal Notch Position

9/20/18. Ear To Sternal Notch. Primary Methods to Rescue & Prevent Failed Intubation. Ear to Sternal Notch Position Primary Methods to Rescue & Prevent Failed Intubation Communicating and Working with a Knowledgeable Assistant External Laryngeal Manipulation Bimanual Larynogscopy Head-Elevated Larynogscopy Position

More information

Video Laryngoscopes Novelty, Mandatory or Morbidity. Dr Brent May FANZCA MBBS Specialist Anaesthetist Retrieval Consultant - Adult Retrieval Victoria

Video Laryngoscopes Novelty, Mandatory or Morbidity. Dr Brent May FANZCA MBBS Specialist Anaesthetist Retrieval Consultant - Adult Retrieval Victoria Video Laryngoscopes Novelty, Mandatory or Morbidity Dr Brent May FANZCA MBBS Specialist Anaesthetist Retrieval Consultant - Adult Retrieval Victoria Disclosure I receive no direct financial payments from

More information

All I need is an LMA

All I need is an LMA All I need is an LMA Narasimhan Sim Jagannathan, M.D. Associate Chairman, Academic Affairs Director, Pediatric Anesthesia Research Ann & Robert H. Lurie Children s Hospital of Chicago Associate Professor

More information

PROBLEM-BASED LEARNING: Airway Management in Remote Area

PROBLEM-BASED LEARNING: Airway Management in Remote Area PROBLEM-BASED LEARNING: Airway Management in Remote Area Dr Eric You-Ten, MD PhD FRCPC Assistant Professor Department of Anesthesia Mount Sinai Hospital CASE: Airway Nightmare in A Remote Location OBJECTIVES:

More information

Use of the Aintree Intubation Catheter with the Laryngeal Mask Airway and a Fiberoptic Bronchoscope in a Patient with an Unexpected Difficult Airway

Use of the Aintree Intubation Catheter with the Laryngeal Mask Airway and a Fiberoptic Bronchoscope in a Patient with an Unexpected Difficult Airway Case Report Use of the Aintree Intubation Catheter with the Laryngeal Mask Airway and a Fiberoptic Bronchoscope in a Patient with an Unexpected Difficult Airway Andrew Zura MD, D. John Doyle MD PhD FRCPC,

More information

Introducing the Fastrach-LMA. Prepared by Jim Medeiros, NREMT-P Regional Field Coordinator Lord Fairfax EMS Council

Introducing the Fastrach-LMA. Prepared by Jim Medeiros, NREMT-P Regional Field Coordinator Lord Fairfax EMS Council Introducing the Fastrach-LMA Prepared by Jim Medeiros, NREMT-P Regional Field Coordinator Lord Fairfax EMS Council Objectives Review Anatomy of the Upper Airway Review LFEMSC LMA Protocol Discuss Indications

More information

Force and pressure distribution using Macintosh and GlideScope laryngoscopes in normal and difficult airways: a manikin study

Force and pressure distribution using Macintosh and GlideScope laryngoscopes in normal and difficult airways: a manikin study British Journal of Anaesthesia 108 (1): 146 51 (2012) Advance Access publication 28 September 2011. doi:10.1093/bja/aer304 Force and pressure distribution using Macintosh and GlideScope laryngoscopes in

More information

Airway/Breathing. Chapter 5

Airway/Breathing. Chapter 5 Airway/Breathing Chapter 5 Airway/Breathing Introduction Rapid assessment and management of airway and ventilation are critical to preventing morbidity and mortality. Airway compromise can occur rapidly

More information

The implication of using dominant hand to perform laryngoscopy: an analysis of the laryngoscopic view and blade-tooth distance

The implication of using dominant hand to perform laryngoscopy: an analysis of the laryngoscopic view and blade-tooth distance Anesth Pain Med 2018;13:207-213 https://doi.org/10.17085/apm.2018.13.2.207 pissn 1975-5171 ㆍ eissn 2383-7977 Clinical Research Received October 20, 2017 Revised November 13, 2017 Accepted November 14,

More information

ENDOTRACHEAL INTUBATION POLICY

ENDOTRACHEAL INTUBATION POLICY POLICY Indications: Ineffective ventilation with mask and t-piece, or mask and bag technique Inability to maintain a patent airway Need or anticipation of need for prolonged ventilation Need for endotracheal

More information

Medicine. McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation A randomized trial

Medicine. McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation A randomized trial Clinical Trial/Experimental Study Medicine McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation A randomized trial Li Wan, MD a, Mingfeng Liao, MD a, Li Li,

More information

RESPIRATION AND THE AIRWAY First clinical experience of tracheal intubation with the SensaScope Ò, a novel steerable semirigid video stylet

RESPIRATION AND THE AIRWAY First clinical experience of tracheal intubation with the SensaScope Ò, a novel steerable semirigid video stylet British Journal of Anaesthesia 97 (2): 255 61 (2006) doi:10.1093/bja/ael135 Advance Access publication June 1, 2006 RESPIRATION AND THE AIRWAY First clinical experience of tracheal intubation with the

More information

Research Article Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings: A Randomized Simulation Trial

Research Article Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings: A Randomized Simulation Trial BioMed Research International Volume 215, Article ID 86243, 6 pages http://dx.doi.org/.1155/215/86243 Research Article Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings:

More information

Study of Comparison of Standard And English Macintosh Laryngoscope Blades in Patients Undergoing Surgery Under General Anaesthesia.

Study of Comparison of Standard And English Macintosh Laryngoscope Blades in Patients Undergoing Surgery Under General Anaesthesia. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 12 Ver. VIII (December. 2016), PP 111-118 www.iosrjournals.org Study of Comparison of Standard

More information

Trachway video intubating stylet allows for optimization of electromyographic endotracheal tube placement for monitored thyroidectomy

Trachway video intubating stylet allows for optimization of electromyographic endotracheal tube placement for monitored thyroidectomy Original Article Trachway video intubating stylet allows for optimization of electromyographic endotracheal tube placement for monitored thyroidectomy Pi-Ying Chang 1, Pin-Yang Hu 2, Yi-Chu Lin 3,4, Hsiu-Ya

More information

Brief report Failed Intubating Laryngeal Mask Airway-Guided Blind Endotracheal Intubation in a Severe Postburn Contractured Neck Patient.

Brief report Failed Intubating Laryngeal Mask Airway-Guided Blind Endotracheal Intubation in a Severe Postburn Contractured Neck Patient. (Acta Anaesth. Belg., 2011, 62, 95-99) Brief report Failed Intubating Laryngeal Mask Airway-Guided Blind Endotracheal Intubation in a Severe Postburn Contractured Neck Patient. B. KUMAR (*), K. VADAJE

More information

Use of Airtraq, C-Mac, and Glidescope laryngoscope is better than Macintosh in novice medical students hands: A manikin study

Use of Airtraq, C-Mac, and Glidescope laryngoscope is better than Macintosh in novice medical students hands: A manikin study Page 376 ORIGINAL ARTICLE Use of Airtraq, C-Mac, and Glidescope laryngoscope is better than Macintosh in novice medical students hands: A manikin study Abdullah M. Kaki, Waleed A. AlMarakbi, Hazem M. Fawzi

More information

EUROANESTHESIA 2007 Munich, Germany, 9-12 June 2007

EUROANESTHESIA 2007 Munich, Germany, 9-12 June 2007 LARYNGOSCOPY: PAST, PRESENT AND FUTURE EUROANESTHESIA 2007 Munich, Germany, 9-12 June 2007 EAMSRC1 JOHN HENDERSON Anaesthetic Department Gartnavel General Hospital Glasgow, UK Saturday Jun 9, 2007 15:00-15:45

More information

Video Laryngoscope: A Review of the Literature

Video Laryngoscope: A Review of the Literature Video Laryngoscope: A Review of the Literature 2 Andrea De Gasperi, Francesca Porta, and Ernestina Mazza 2.1 Introduction Orotracheal intubation is the gold standard technique to secure the airways during

More information

Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports

Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports Case Report pissn 2383-9309 eissn 2383-9317 J Dent Anesth Pain Med 2017;17(3):219-223 https://doi.org/10.17245/jdapm.2017.17.3.219 Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral

More information

NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO IN COMPARISON WITH MALLAMPATI TEST: A STUDY TO PREDICT DIFFICULT INTUBATION

NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO IN COMPARISON WITH MALLAMPATI TEST: A STUDY TO PREDICT DIFFICULT INTUBATION ejpmr, 2016,3(12), 363-367 Khanooja et al. SJIF Impact Factor 3.628 Research Article EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL European RESEARCH Journal of Pharmaceutical and Medical Research ISSN

More information

Nobuko Tachibana Yukitoshi Niiyama Michiaki Yamakage

Nobuko Tachibana Yukitoshi Niiyama Michiaki Yamakage DOI 10.1007/s00540-014-1847-1 ORIGINAL ARTICLE Incidence of cannot intubate-cannot ventilate (CICV): results of a 3-year retrospective multicenter clinical study in a network of university hospitals Nobuko

More information

Airway/Breathing. Chapter 5

Airway/Breathing. Chapter 5 Airway/Breathing Chapter 5 Airway/Breathing Introduction Skillful, rapid, assessment and management of airway and ventilation are critical to preventing morbidity and mortality. Airway compromise can occur

More information

Nicolette Mosinski MPAS, PA-C

Nicolette Mosinski MPAS, PA-C Nicolette Mosinski MPAS, PA-C 1. Impaired respiratory effort 2. Airway obstruction Observe patient for detection Rate Pattern Depth Accessory muscle use Evidence of injury Noises Silent manifestations

More information

Laryngoscopy: Time to broaden our horizon.

Laryngoscopy: Time to broaden our horizon. Laryngoscopy: Time to broaden our horizon. Dr.Renu Devaprasath, D.N.B. (Anesthesia), Dept of Anesthesia, Dr.Jeyasekharan Medical Trust, Nagercoil, Abstract Failure to secure the airway & maintain oxygenation

More information

Incidence and predictors of difficult nasotracheal intubation with airway scope

Incidence and predictors of difficult nasotracheal intubation with airway scope J Anesth (2014) 28:650 654 DOI 10.1007/s00540-013-1778-2 ORIGINAL ARTICLE Incidence and predictors of difficult nasotracheal intubation with airway scope Koyu Ono Tomoko Goto Daishi Nakai Shuhei Ueki Seiichiro

More information

Pre-hospital i-gel blind intubation for trauma: a simulation study

Pre-hospital i-gel blind intubation for trauma: a simulation study Clin Exp Emerg Med 2018;5(1):29-34 https://doi.org/10.15441/ceem.16.188 Pre-hospital i-gel blind intubation for trauma: a simulation study Jae Guk Kim*, Wonhee Kim*, Gu Hyun Kang, Yong Soo Jang, Hyun Young

More information

Intubation techniques

Intubation techniques Operative Techniques in Otolaryngology (2005) 16, 166-170 FEATURE ARTICLES Intubation techniques Geoffrey Lane, MB, BChir, FRCA From the Department of Anesthesiology, The University of Colorado Health

More information

All bedside percutaneously placed tracheostomies

All bedside percutaneously placed tracheostomies Page 1 of 5 Scope: All bedside percutaneously placed tracheostomies Population: All ICU personnel Outcomes: To standardize and outline the steps necessary to safely perform a percutaneous tracheostomy

More information