Facilitating Smooth Insertion of an Endotracheal Tube Into the Trachea Under Glidescope® Video Laryngoscope

2011 ◽  
Vol 40 (4) ◽  
pp. 443-444 ◽  
Author(s):  
Fu-Shan Xue ◽  
He-Ping Liu ◽  
Jun Xiong ◽  
Xin-Ling Guo ◽  
Xu Liao
Keyword(s):  
Endotracheal Tube ◽  
Video Laryngoscope

scholarly journals Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Renu Sinha ◽  
Ankur Sharma ◽  
Bikash Ranjan Ray ◽  
Ravinder Kumar Pandey ◽  
Vanlalnghka Darlong ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Randomized Study ◽  
Video Laryngoscope ◽  
Prospective Randomized Study ◽  
Failed Intubation ◽  
Normal Airway ◽  
Maximum Time ◽  
Total Procedure

Background. Ease of endotracheal intubation with C-MAC video laryngoscope (VLS) with Miller blades 0 and 1 has not been evaluated in children.Methods. Sixty children weighing 3–15 kg with normal airway were randomly divided into two groups. Intubation was done with C-MAC VLS Miller blade using either nonstyletted endotracheal tube (ETT) (group WS) or styletted ETT (group S). The time for intubation and total procedure, intubation attempts, failed intubation, blade repositioning or external laryngeal maneuver, and complications were recorded.Results. The median (minimum/maximum) time for intubation in group WS and group S was 19.5 (9/48) seconds and 13.0 (18/55) seconds, respectively (p=0.03). The median (minimum/maximum) time for procedure in group WS was 30.5 (18/72) seconds and in group S was 24.5 (14/67) seconds, respectively (p=0.02). Intubation in first attempt was done in 28 children in group WS and in 30 children in group S. Repositioning was required in 14 children in group WS and in 7 children in group S (p=0.06). There were no failure to intubate, desaturation, and bradycardia in both groups.Conclusion. Styletted ETT significantly reduces time for intubation and time for procedure in comparison to nonstyletted ETT.

scholarly journals Anesthetic Management for Emergent Repair of Tracheoinnominate Fistula

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Vinayak Nadar ◽  
Ratan K. Banik
Keyword(s):  
Intensive Care Unit ◽  
Endotracheal Tube ◽  
Anesthetic Management ◽  
Massive Bleeding ◽  
Video Laryngoscope ◽  
Fistula Repair ◽  
False Passage ◽  
Tracheal Defect ◽  
Airway Collapse ◽  
Subcutaneous Space

We present a case of a 30-year-old female, who had tracheostomy revision complicated by false passage into the subcutaneous space and pneumothorax. Six days later, she developed massive bleeding from the mouth, nose, and tracheostomy site. Approximately 2 liters of blood was lost. With high suspicion for tracheo-innominate fistula, she was emergently brought to the operating room for fistula repair. Her anesthetic management was initially focused on maintaining spontaneous ventilation with inhalation agents until surgical exposure was adequate. An endotracheal tube was then placed under guidance of a video-laryngoscope. The tracheostomy tube was then removed over a Cook catheter to maintain secure passage in case of airway collapse. The oral endotracheal tube was then inserted distal to the arterial and tracheal defect. The patient’s bleeding was stopped, the fistula was repaired, and she was transferred back to the intensive care unit, but she died several days later due to multi-organ failure.

scholarly journals Two Endotracheal Tubes in One Trachea with a Traumatic Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Andrew Winegarner ◽  
Harish Lecamwasam ◽  
Mark C. Kendall ◽  
Shyamal Asher
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Traumatic Injury ◽  
Video Laryngoscope ◽  
The Self ◽  
Time Constraints ◽  
Case Presentation ◽  
Endotracheal Tubes ◽  
Oral Intubation ◽  
Airway Trauma

Background. Traumatic airway injuries often require improvising solutions to altered anatomy under strict time constraints. We describe here the use of two endotracheal tubes simultaneously in the trachea to facilitate securing an airway which has been severely compromised by a self-inflicted wound to the trachea. Case Presentation: A 71-year-old male presented with a self-inflicted incision to his neck, cutting deep into the trachea itself. An endotracheal tube was emergently placed through the self-inflicted hole in the trachea in the ED. The patient was bleeding profusely, severely somnolent, and desaturating upon arrival to the operating room. Preservation of the tenuous airway was a priority while seeking to establish a more secure one. A video laryngoscope was used to gain a wide view of the posterior oropharynx and assist with oral intubation using a fiberoptic scope loaded with a second endotracheal tube. The initial tube’s cuff was deflated as the second tube was advanced over the fiberoptic scope, thereby securing the airway while a completion tracheostomy was performed. Conclusions. Direct penetrating airway trauma may necessitate early, albeit less secure, intubations though the neck wounds prior to operating room arrival. The conundrum is weighing the risk of losing a temporary airway while attempting to establish a more secure airway. Here, we demonstrate the versatility of common anesthesia tools such as a video laryngoscope and a fiberoptic bronchoscope and the welcome discovery of the trachea’s ability to accommodate two endotracheal tubes simultaneously so as to ensure a patent airway at all points throughout resuscitation.

scholarly journals Palatal and retropharyngeal injury secondary to intubation using the GlideScope® video laryngoscope

2015 ◽  
Vol 97 (4) ◽  
pp. e67-e69 ◽  
Author(s):  
DS Thorley ◽  
AR Simons ◽  
O Mirza ◽  
V Malik
Keyword(s):  
Endotracheal Tube ◽  
Soft Palate ◽  
Case History ◽  
Video Laryngoscope ◽  
Retropharyngeal Abscess ◽  
Isolated Injury

Introduction There are few reports of injury to the soft palate and retropharynx sustained during intubation with the GlideScope® video laryngoscope. Most reports are of isolated injury to the soft palate. Case History We describe a patient in whom the retropharynx was injured but the extent of the injury was not observed initially. The patient did not suffer severe sequelae from this injury. However, this injury can cause serious sequelae if it is not recognised (eg development of a retropharyngeal abscess). Conclusions We recommend that any patient who sustains injury to the soft palate during intubation (particularly if the endotracheal tube passes through the soft palate) should be reviewed an otolaryngologist before removal of the endotracheal tube.

scholarly journals Combined Use of a Gum Elastic Bougie and Video Laryngoscopy for Intubating a Patient With an Unexpected Laryngeal Papilloma

2020 ◽  
Vol 67 (4) ◽  
pp. 230-232
Author(s):  
Nanako Ikeda ◽  
Tomoka Matsumura ◽  
Haruna Kono ◽  
Yukiko Baba ◽  
Miho Hanaoka ◽  
...  
Keyword(s):  
Case Report ◽  
Endotracheal Tube ◽  
Large Mass ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Odontogenic Cysts ◽  
Mask Ventilation ◽  
Laryngeal Papilloma ◽  
Combined Use ◽  
The Right

This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.

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