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 time of with the F Agro 2003 705-6 immobilization GlideScope was 38s. 2 The GlideScope videolaryngoscope Use of a new videolaryngoscope 3 (GlideScope) in the management of a airway. The GlideScope videolaryngoscope. We reported a success rate of 698/722 (96,4%). My own experience with the GlideScope now extends to approximately 1400 patients, thus far without failure. Purpose: To describe the clinical use of a new videolaryngoscope in a patient who had repeatedly been or impossible to intubate by conventional direct laryngoscopy. This device provided excellent glottic visualization and permitted easy endotracheal. R.M. Cooper 2005 1042-1052 OR R.M. Cooper 2003 50 611-613 Early clinical experience with a new 4 videolaryngoscope (GlideScope) in 728 patients Conclusion: laryngoscope consistently yielded a comparable or superior glottic view compared with Dl. was abandoned in 3.7% of patients. R.M. Cooper Cardiothorac 2005 52:2 191 Objectives - Inherent ease of use and initial skill acquisition are major considerations for selecting The Glidescope Video Laryngoscope In rescue devices. "... the GVL is The Hands of vice Users: Seeing expected to be easy to use with fast initial skill 5 The Larynx Does t Correlate With acquisition." The objective of this study was to Intubation Success assess the performance of novice users of the GVL. Results - Laryngeal view was excellent in all cases. Intubation with the GlideScope 6 videolaryngoscope in a man with severe cervical spondylolisthesis Because the GlideScope can be introduced without moving the neck, it has been used in patients with cervical instability. We report the case of a 56 year old man who underwent surgery for severe cervical spondylolisthesis. Considerations aimed at facilitating the On the basis of our experience with this device, 7 use of the new GlideScope which includes 200 patients to date, we would like videolaryngoscope to offer a series of considerations: Q.T. Quach Ann Emerg Med. 2004 44 119 J.V. Cuchillo Rev.Esp.Anestesiol 2005 52 425-428 J.V. Cuchillo Can J Anaesth 2005 52 661 Awake using the GlideScope 8 video laryngoscope: initial experience in four cases There are several advantages of using the GVL for awake. First, the view is excellent. Second, the method is less affected by secretions or blood as compared to fibreoptic. Third, everyone can view the, while this is the case only for video bronchoscopes. Fourth, the can be recorded using a regular camcorder. Fifth, there are no restrictions on the type of ETT that can be placed, while this is not the case for fibreoptic methods. Sixth, the GVL is more rugged than a bronchoscope, and is less susceptible to damage. Seventh, the GVL is easily cleaned. Finally, while advancing the ETT into the trachea over a bronchoscope often fails as a result of the ETT impinging on the arytenoid cartilages,3 this is not a problem with the GVL. Awake Intubation to Fiberoptic J. Doyle 2005 Miniaturizing the GlideScope video 9 laryngoscope system: a new design for enchanced portability GlideScope assisted fiberoptic 10 : a new airway teaching method 11 The Glidescope video laryngoscope In essence, this modification involves constructing a simple interface circuit that allows the GVL to be connected to any NTSC compatible display, eliminating entirely the need for the base unit. The author has used this arrangement in over a dozen clinical cases with excellent results. The purpose of this letter is to describe a new technique for fiberoptic using the GlideScope video laryngoscope. It was also my experience that this technique offers a "macro view" that is helpful even when a video bronchoscope is available. My experience is that successful tracheal tube placement is usually best achieved by using a stylet formed in the shape of a hockey stick (with a 90 degree bend). In addition to Dr Cooper's series of 80 cases using the GlideScope, we have used the Videolaryngoscope in the management GlideScope in over 170 of our own cases in the 12 of the airway five months we had the unit, including ten cases of awake and several airway rescues where we were called in for assistance. J. Doyle 2005 Awake FOB assisted Intubation with the GlideScope In our experience, a malleable stylet bent to a 90 13 videolaryngoscope using the gear stick degree angle usually allows easy glottic insertion method of the ETT. Nasal insertion of tube to aid in 14 GlideScope use I wish to suggest a technique that I found aided the use of GlideScope during an unanticipated recently: IC Education J. Doyle Nasal 2004 2004 J Doyle Anaesthesia 2005 60 414-415 J Doyle Can J Anaesth 2004 51 95 M Dupanovic Can J Anaesth 2006 53 213-214 N Fairweathe Anaesth IC 2005 33 823 r Page 1 of 5
Page. Succesful first time use of the portable GlideScope videolaryngoscope in a 15 patient with severe ankylosing spondylitis The patient's airway examination revealed a Mallampati class IV, but with adequate mouth opening. Following induction of general anesthesia, the GVL provided a Cormack-Lehane grade 1 laryngoscopic view and permitted, during the first attempt, easy endotracheal. C.K. Gooden Can J Anaesth 2005 52 777-778 Does a new 16 videolaryngoscope(glidescope) provide better glottic exposure? Using a GlideScope for with 17 a double lumen endotracheal tube A new video laryngoscope - an aid to 18 and teaching The laryngeal view was better in the GlideScope group using this grading system. The GlideScope provided a better view of the glottis and is a useful alternative in airway management. We suggest bending the stylet of the DLT so that the distal 16 to 20 cm of the DLT curve follows the curve of the GlideScope. A total of 235 patients were studied and were divided into two groups: Group A, in whom was unlikely to be and Group B, in whom a y with was anticipated. In our view, video laryngoscopy will become the method of choice in teaching. In addition I, Dr. Kaplan, like Dr. Cooper, suggests Videolaryngoscope in the management 19 the use of a video display should be standard of the airway when teaching techniques. There was no difference in the number of Evaluation of ease of with successful s, ease of or the GlideScope or Macintosh choice of intubating device. In the simulated 20 laryngoscope by anaesthetists in simulated easy and laryngoscopy. The GlideScope Video Laryngoscope: 21 randomized clinical trial in 200 patients. A comparison of the GlideScope with the Macintosh laryngoscope for 22 tracheal in patients with simulated. Ease of with the GlideScope or Macintosh laryngoscope by 23 inexperienced operators in simlulated. Cervical Spine Motion: A Fluoroscopic During Intubation with 24 Lighted Stylet, GlideScope, and Macintosh Laryngoscope Topicalization of the airway using 25 GlideScope laryngoscopy scenario's, the anaesthetists took less time to intubate with the Glidescope. The anaesthetists found it easier to intubate using the GlideScope. Results. In the group, laryngoscopy grade was improved in the majority (28/41) of patients with C&L grade >1 and in all but one of patients who were grade 3 laryngoscopy (P<0.001). The overall mean time to intubate was 30 (95% CI 28-33) s in DL group and 46 (95% CI 43-49) s in the group. The time to intubate for C&L grade 3 was similar in both groups, being 47 s for the DL group and 50 s for the group respectively. W.T. Hsiao Education M.B. Kaplan Acta Anaesthesiol Taiwan 2005 43 147-151 A.A. Hernandez Can J Anaesth 2005 52 685-686 Journal of Clinical 2002 14 620-626 Education M.B. Kaplan Can J Anaesth 2004 51 94 We compared the use of the GlideScope and the conventional Macintosh laryngoscope in a simulated airway. The GlideScope improved the laryngeal view and decreased time for tracheal when compared to the Macintosh laryngoscope in patients with simulated airway. The GlideScope appeared to be useful to inexperienced operators when managing the airway. Its angulated blade with a camera provided good laryngeal view, increasing the ease and rate of successful. We compared, using fluoroscopic video, C-spine motion during for Macintosh 3 blade, GlideScope, and Intubating Lighted Stylet, popularly known as the Lightwand or Trachlight.C-spine motion was reduced 50% at the C2-5 segment using the GlideScope. Reports have indicated that the GlideScope can provide adequate vision of the glottis (Cormack and Lehane grade I-II) even when the oral, pharyngeal and laryngeal axes are not aligned (1-2). Another possible application of this device is A response to 'The GlideScope system: 26 inspection of the vocal cords following a clinical assessment of performance' thyroidectomy. The GlideScope system: a clinical 27 assessment of performance We conclude that the GlideScope is an effective device for tracheal and provides an improved view of the larynx. Further clinical studies are necessary to evaluate its role in that are to manage. to Trachlight T.J. Lim Anaesthesia 2005 60(2) 180 D.A. Sun Anaesthesia 2005 94 (3) 381-384 Y Lim Anaesth IC 2005 33 243-247 Y Lim Anaesthesia 2003 T.P. Turkstra Anesth Analg 2005 101 910-915 K. Supbornsu Anesth Analg 2004 99 (4) 1263-4 g H. Sapra Anaesthesia 2005 60 (5) 524 M.R. Rai Anaesthesia 2005 60 (1) 60-4 Page 2 of 5
We present here two cases of successful using the GlideScope Video Intubation System who successfully underwent a traumatic with the use of induction agents. In the first case the GlideScope permitted visualization and with no disruption of cervical spine immobilization and with the use of induction agents in a combative trauma patient. In the second case the GlideScope permitted GlideScope Video Intubation System in visualization and in a airway in a the management of Anatomically uncooperative patient. In fact, the GlideScope 28 Difficult Airways and Cervical Spine upgraded the airway visualization to grade two. In IC Q.T. Quach Immobilization our experience at our level one trauma center the GlideScope is an invaluable resource. It allows the anesthesiologist to secure the airway with a sedated patient in a controlled environment with little preparation time and in those patients in whom a Mallampatti classification cannot be obtained and with only one anesthesiologist. Similar s with fiberoptic systems requires multiple anesthesia personnel and the visualization is monocular. Videolaryngoscopy in the management 29 of the airway - "Correspondence" Intubation with the GlideScope 30 videolaryngoscope in a man with severe cervical spondylolisthesis Training method of applying pressure 32 on the neck for laryngoscopy: use of a videolaryngoscope Tracheal with the 33 GlideScope video laryngoscope, using a J-shaped endotracheal tube Reverse loading to facilitate 34 GlideScope. The modified Eschmann guide to 35 facilitate tracheal using the GlideScope. Kaplan, M.B.: Our experience has convinced us that the benefits of an enlarged image, and the opportunity to have coordinated assistance when required, are substantial (3-5) In addition, we, like Dr. Cooper, suggest that the use of a video display should be standard when teaching techniques. Doyle, D.J.: Like Dr. Cooper, our experience with the unit has been highly favourable, and we fully expect that the GlideScope will ultimately have a profound impact on clinical airway management. Cooper, R.M.: I agree with Drs. Kaplan and Berci regarding the value of a video display while performing laryngoscopy. As they stated, this is particularly useful when teaching or supervising the procedure. The GlideScope is proving effective in routine and. It is interesting to abserve that many users have rapidly acquired the necessary confidence to chooce this as a firstline management tool...little force is required to obtain a good laryngeal view on the monitor. I configure the stylet to the same shape of the GlideScope blade (approximately a 60 degree ben Because the GlideScope can be introduced without moving the neck, it has been used in patients with cervical instability. We report the case of a 56-year-old man who underwent surgery for severe cervical spondylolisthesis. We describe a modified approach to managing the videolaryngoscope that facilitated maneuvering and and that offers an effective alternative to techniques with other devices. We have found that a J-shaped endotracheal tube, formed to follow the contour of the GlideScope, facilitates the most rapid (Figure). By following the contour of the VL and allowing approximately 1cm of tube to extend beyond the end of the scope, we have increased our success rate and time of airway instrumentation compared to the use of an endotracheal tube with a single 60 degree bend. The tube should be loaded and bent backwards against its natural curve This maneuver may help to reduce the incidence of y when intubating the trachea using the GlideScope. Once access to the glottis is achieved, the ETT easily slides over the guide during visualization with the videolaryngoscope ETI was achieved in less than 60 sec in 38 patients no failures were experience. The ease of use of the GlideScope and its ability to provide visualization of the glottis make it a very useful tool for ETI. Page. R.M. Cooper Can J Anesth 2004 51 (1) 94-6 J.V. Cuchillo Rev Esp Anestesiol 2005 52 (7) 425-8 Reanim. Education T. Asai 2003 58 602-603 S.O. Bader Can J Anaesth 2006 53 (6) 632-636 W.A. Dow Can J Anaesth 2007 54 (2) 161-162 E. Falcó- Can J Anaesth Molmeneu 2006 53 (6) 632-636 Page 3 of 5
The GlideScope improved time and y score for tracheal when of the GlideScope video compared with the intubating laryngeal mask in laryngoscope vs. the intubating European J 36 our patients. Blind through the - LMA W.L. Fun laryngeal mask for females with normal Anaesth intubating laryngeal mask airway offers no. advantages over the GlideScope in patients with normal. The use of a gum elastic bougie in 37 combination with a videolaryngoscope. The StyletScope(R) facilitates tracheal 38 with the GlideScope(R). Avoiding awake by performing awake GlideScope(R) 39 laryngoscopy in the preoperative holding area RESPIRATION AND THE AIRWAY The use of the GlideScope_ for 40 tracheal in patients with ankylosing spondylitis 41 Video recording of tracheal This maneuver avoids impacting the ETT tip on the anterior commissure of the glottis or the anterior wall of the cricoid cartilage. With adequate topical anesthesia, awake GlideScope laryngoscopy is technically feasible, well-tolerated, and easy to accomplish in a bsuy clinical setting. The GlideScope provides a better laryngoscopic view than that of direct laryngoscopy. Most of the AS patients presenting with MCLS grade III or IV by direct laryngoscopy can be intubated successfully by the GlideScope. The use of GlideScope for tracheal may be an alternative option in these patients who prefer their airway management under anaesthesia. The GlideScope video laryngoscope: The GVL could become an effective device for 42 initial experience in five neonates. neonatal. New Video Laryngoscope Boasts 96% Success Rate: Cleveland Clinic 44 Investigators Successfully Intubated 718 of 747 Cases With The GlideScope. Another complication associated with videolaryngoscopy 45 Another complication associated with videolaryngoscopy GlideScope/ gastric-tube guided 46 technique: a back-up approach for ProSeal LMA insertion of haemodynamic responses to orotracheal 47 with GlideScope videolaryngoscope and fiberoptic bronchoscope Awake Intubation "The GlideScope is an innovative improvement on the traditional laryngoscope that allows the operator to see 'around' the line of sight," commented Charles B. Watson, MD Chairman of and Deputy Surgeon-in-Chief at Bridgeport Hospital. the need for operator vigilance in viewing the tip of the ETT as it advances into the pharynx without Complications causing any trauma. The GlideScope/GT technique may also prove to be a more gentle procedure than use of the laryngoscope-guided gum elastic bougie technique advocated by Briacombe. The orotracheal using fiberoptic bronchoscope and a GlideScope videolaryngoscope produce similar haemodynamic to Fiberoptic responses. In all patints tracheal was successfully at first attempt within 60s. In current practice, the GlideScope video Acromegalic Patients Have Higher Risk 48 laryngoscope is used almost exclusively for the for Difficult Intubation of acromegalic patients. Complications associated with the use 49 of the GlideScope videolaryngoscope J.W. Y Heitz Hirabayas hi Journal of Clinical 2007 Jan 4 1-6 Can J Anaesth 2006 53 Pre-Hospital P.M. Jones Can J Anaesth 2006 53 Neonatology/ Pediatrics H.Y. Lai British Journal of Anaesthesia Y Okuda 2005 60 D Trevisanut o E. Douglas Page. 2005 52 658-659 1263-1264 1264-1265 2006 97 (3) 419-422 1042-1043 Can J Anaesth 2006 99 423-424 News 2006 32 (5) 42-43 M.K.F Choo Can. J. Anaesth 2007 54 322-324 - LMA M Micaglio Can. J. Anaesth 2006 The author has personal experience using the device in over 1600 patients without complication....tube insertion and advancement must be directly observed to ensure that tissue planes are Complications not violated. The author recommends insertion of the ETT parallel to, and as close as possible to the laryngoscope blade, attempting to reproduce its course. F.S. Xue European J An 2006 E Douglas News 2006 53 (10) 32 (07) 1061-1065 R.M. Cooper Can. J. Anaesth 2007 54 (1) 54-57 50 GlideScope video laryngoscopes The senior author has found a similar improvement in the view of the larynx offered by the GlideScope. In addition, this superior view is obtained with less laryngeal blade retraction and is therefore less traumatic. Improved visualization of the larynx also results in less laryngeal trauma during endotracheal tube insertion. Three attempts at using both straight and curved laryngeal blades were unsuccessful. The C/L glottic exposure was grade 3. The GlideScope video laryngoscope was used and allowed full visualization of the glottis (C/L grade 1). The patient was successfully intubated. GlideScope -assisted awake GlideScope-assisted awake fibreoptic is Awake FOB 51 fiberoptic : initial experience inindeed a useful technique in airway assisted 13 patients management. The GlideScope for tracheal In patients with severe AS, a airway and 52 in patients with ankylosing insufficient nasal access still remain problematic. spondylitis G.L. Murrell Otolaryngology- Head and Surgery F.S. Xue 2006 61 Complications B. Gundayin British Journal of Anaesth 2007 136 307-308 1007-1019 408-409 Page 4 of 5
The described maneuvers have helped the authors to facilitate introduction of the ETT into More maneuvers to facilitate tracheal 53 the mouth, past the GlideScope, and decrease with the GlideScope the risk of trauma to the posterior larynx and tracheal glottis. Atemwegmanagement - Klinisches 54 Management des schwierigen Atemwegs Im Rahmen der Ausbildung werden sie sehr erfolgreich eingesetzt. The scenarios were: 'normal' or resting state of the manikin, pharyngeal obstruction, cervical An evaluation of the GlideScope, a new rigidity and tongue oedema. 93% of anesthetists 55 video laryngoscope for : considered having the GlideScope would be a manikin study useful if faced clinically with one or more of the studied scenarios. Education General Information Page. D.C. Kramer Can. J. Anaesth 2006 53 (7) 737-740 V. Dörges CME 2006 9 564-574 F.J. Benjamin European J An 2006 23-6 517-21 The GlideScope Video Laryngoscope appears to be a promising device for emergency s. It is rugged, reliable, easy to use, and best of all, it allows the operator to "see around the corner"" to visualize the vocal cords. I suspect in a few years The GlideScope Video Laryngoscope - that videolaryngoscopy will dominate the field of A practical guide to the future of Airway emergency airway management and direct 56 Management laryngoscopy will become a relic of the past. General Information IC J.C. Sakles Emergency Medicine & Critical Care Review 2006 34-35 Page 5 of 5