Successful Intubation of a Difficult Airway Using a Yankauer Suction Catheter

2019 ◽  
Vol 57 (3) ◽  
pp. 383-386
Author(s):  
Keshav Patel ◽  
Joshua Mastenbrook ◽  
Aaron Pfeifer ◽  
Laura Bauler
Keyword(s):  
Difficult Airway ◽  
Suction Catheter ◽  
Successful Intubation

scholarly journals Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Joni E. Rabiner ◽  
Marc Auerbach ◽  
Jeffrey R. Avner ◽  
Dina Daswani ◽  
Hnin Khine
Keyword(s):  
Crossover Study ◽  
Difficult Airway ◽  
Direct Laryngoscopy ◽  
Successful Intubation ◽  
Success Rates ◽  
Normal Airway ◽  
Intubation Success ◽  
Mean Time ◽  
Randomized Crossover Study

Objective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL).Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and DL. Primary outcomes included time to intubation and rate of successful intubation. Interns rated their satisfaction of the devices and chose the preferred device.Results. Twenty-five interns were included. In the normal airway scenario, there were no differences in mean time for intubation with GVL or DL (61.4 versus 67.4 seconds, ) or number of successful intubations (19 versus 18, ). In the difficult airway scenario, interns took longer to intubate with GVL than DL (87.7 versus 61.3 seconds, ), but there were no differences in successful intubations (14 versus 15, ). There was a trend towards higher satisfaction for GVL than DL (7.3 versus 6.4, ), and GVL was chosen as the preferred device by a majority of interns (17/25, 68%).Conclusions. For novice clinicians, GVL does not improve time to intubation or intubation success rates in a pediatric simulator model of normal and difficult airway scenarios. Still, these novice clinicians overall preferred GVL.

scholarly journals A Comparison of Macintosh and Video Laryngoscopy Performed With a Prototype Rigid Anterior Commissure Laryngoscope by Experienced and Novice Users in a Manikin Model

2020 ◽  
Author(s):  
Price Sonkarley ◽  
Nilesh R. Vasan ◽  
Edward Kosik ◽  
Michael Anderson ◽  
Marvin Williams ◽  
...  
Keyword(s):  
Difficult Airway ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Anterior Commissure ◽  
Primary Outcome Measure ◽  
User Preference ◽  
The Novel ◽  
Successful Intubation ◽  
Life Saving ◽  
Novice Users

Abstract Background. Intubation is a life-saving skill that can be difficult to learn and perform.Objective. The intubation time and user preference of four intubation techniques, performed by novices or experienced individuals, were compared.Methods. Enrolled participants were randomly assigned to one of four simulated intubation groups. Each group first performed intubation on the manikin airway without modifications (‘easy’ airway), followed by the same technique on a manikin with modifications to mimic a ‘difficult’ airway. The primary outcome measure was the time taken to inflate the manikin’s lungs with the bag ventilator, with successful intubation.Results. Ninety-eight participants were recruited and grouped according to experience: 59 novices (10 or fewer live intubations) and 39 experts (more than 10 live intubations). The total time to intubation increased significantly from the easy airway to the difficult airway for both expertise levels, and for all intubation techniques except the novel laryngoscope.Conclusion. Repeated exposure to multiple intubation devices can result in an adequate learning curve for the novice participant. The novel laryngoscope is an uncomplicated intubation tool; in this study, it provided novice users who intubate infrequently with a better chance of successful intubation in manikins.

scholarly journals Comparison of VividTrac, King Vision and Macintosh laryngoscopes in normal and difficult airways during simulated cardiopulmonary resuscitation among novices

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260140
Author(s):  
Dóra Keresztes ◽  
Ákos Mérei ◽  
Martin Rozanovic ◽  
Edina Nagy ◽  
Zoltán Kovács-Ábrahám ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Difficult Airway ◽  
Success Rate ◽  
Endotracheal Intubation ◽  
Macintosh Laryngoscope ◽  
Dental Trauma ◽  
Esophageal Intubation ◽  
Successful Intubation ◽  
Normal Airway ◽  
Novice Users

Introduction Early endotracheal intubation improves neurological outcomes in cardiopulmonary resuscitation, although cardiopulmonary resuscitation is initially carried out by personnel with limited experience in a significant proportion of cases. Videolaryngoscopes might decrease the number of attempts and time needed, especially among novices. We sought to compare videolaryngoscopes with direct laryngoscopes in simulated cardiopulmonary resuscitation scenarios. Materials and methods Forty-four medical students were recruited to serve as novice users. Following brief, standardized training, students executed endotracheal intubation with the King Vision®, Macintosh and VividTrac® laryngoscopes, on a cardiopulmonary resuscitation trainer in normal and difficult airway scenarios. We evaluated the time to and proportion of successful intubation, the best view of the glottis, esophageal intubation, dental trauma and user satisfaction. Results In the normal airway scenario, significantly shorter intubation times were achieved using the King Vision® than the Macintosh laryngoscope. In the difficult airway scenario, we found that the VividTrac® was superior to the King Vision® and Macintosh laryngoscopes in the laryngoscopy time. In both scenarios, we noted no difference in the first-attempt success rate, but the best view of the glottis and dental trauma, esophageal intubation and bougie use were more frequent with the Macintosh laryngoscope than with the videolaryngoscopes. The shortest tube insertion times were achieved using the King Vision® in both scenarios. Conclusion All providers achieved successful intubation within three attempts, but we found no device superior in any of our scenarios regarding the first-attempt success rate. The King Vision® was superior to the Macintosh laryngoscope in the intubation time in the normal airway scenario and noninferior in the difficult airway scenario for novice users. We noted significantly less esophageal intubation using the videolaryngoscopes than using the Macintosh laryngoscope in both scenarios. Based on our results, the KingVision® might be recommended over the VividTrac® and Macintosh laryngoscopes for further evaluation.

scholarly journals Managing Known Difficult Airways in Obstetric Patients Using a Flexible Bronchoscope and IRRIS: A Case-Illustrated Guide for Nonexpert Anesthesiologists, without Surgical Backup

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Kjartan E. Hannig ◽  
Rasmus W. Hauritz ◽  
Christian Jessen ◽  
Jan Herzog ◽  
Anders M. Grejs ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Airway Management ◽  
Difficult Airway ◽  
Physiological Changes ◽  
Difficult Airway Management ◽  
Successful Intubation ◽  
Flexible Bronchoscope ◽  
Difficult Airways ◽  
Invasive Techniques ◽  
Nose And Throat

Pregnancy is associated with anatomical and physiological changes leading to potential difficult airway management. Some pregnant women have known difficult airways and cannot be intubated even with a hyperangulated videolaryngoscope. If neuraxial techniques are also impossible, awake tracheal intubation with a flexible bronchoscope may be one of the few available options to avoid more invasive techniques. The Infrared Red Intubation System (IRRIS) may help nonexpert anesthesiologists in such situations and may enhance the chance of successful intubation increasing safety for the mother and the fetus, especially in hospitals without the ear, nose, and throat surgical backup.

scholarly journals The Use of Awake Videolaryngoscopy and an Innovative Flexible-Tipped Bougie in a Potentially Difficult Airway

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Will A. Watson ◽  
John Cormack
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Endotracheal Intubation ◽  
Successful Intubation

We present a case where awake videolaryngoscopy (VL) was used, along with a flexible-tipped bougie to allow endotracheal intubation in a challenging airway. The patient presented for resection of a large left-sided parapharyngeal mass. Examination and imaging led to concerns about a potentially difficult airway. Awake VL was used to assess the grade of intubation before induction of anesthesia. Once the patient was anesthetized, a flexible-tipped bougie was used to navigate past the mass, allowing successful intubation. This case report demonstrates the combination of these two technologies to provide effective airway management in the potentially difficult airway.

scholarly journals Perbandingan Angka Keberhasilan Intubasi dan Waktu Intubasi antara Menggunakan Bougie dan Purwarupa Camera–Bougie pada Maneken Simulasi Kesulitan Intubasi

2019 ◽  
Vol 7 (1) ◽  
pp. 18-24
Author(s):  
Gavrila Diva Amelis ◽  
Dhany Budipratama ◽  
Ezra Oktaliansah
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
General Hospital ◽  
Difficult Intubation ◽  
Gold Standard ◽  
Analytic Study ◽  
Successful Intubation ◽  
Block Randomization ◽  
Randomization Method

Penatalaksanaan jalan napas merupakan hal fundamental bagi ahli anestesi. Kegagalan penatalaksanaan jalan napas mengakibatkan kematian. Berbagai modalitas tersedia untuk penatalaksanaan jalan napas  sulit, mulai dari alat sederhana seperti stylet dan bougie hingga alat canggih seperti video laryngsocope dan fiberoptic. Fiberoptik masih menjadi standar baku kesulitan intubasi, namun penggunaannya masih terbatas karena harganya mahal dan penggunaannya sulit. Purwarupa camera–bougie  merupakan modalitas baru yang diharapkan dapat mengatasi keterbatasan tersebut dan menjembatani antara bougie yang sederhana dan fiberoptik yang sangat canggih. Tujuan penelitian adalah membandingkan angka keberhasilan intubasi dan waktu intubasi antara bougie dan purwarupa camera–bougie pada maneken simulasi kesulitan intubasi di RSUP Dr. Hasan Sadikin Bandung. Penelitian analitik eksperimental ini dilakukan pada 41 peserta didik Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadaran/RSUP Dr. Hasan Sadikin Bandung semester 5 sampai dengan 11 yang melakukan intubasi dengan bougie dan purwarupa camera–bougie secara bergantian dengan metode randomisasi permutasi blok pada maneken simulasi kesulitan intubasi. Penelitian dilakukan dari tanggal 16–24 Oktober 2018. Keberhasilan dan waktu intubasi dicatat dan dianalisis secara statistik dengan Uji Mc. Nemar dan Wilcoxon. Keberhasilan intubasi dengan bougie sebesar 39% dan purwarupa camera-bougie 100% (p<0,001). Waktu intubasi dengan  bougie dan purwarupa camera-bougie sebesar 18,81 (12,19) detik dan  7,0 (1,47) detik (p<0,001). Simpulan, purwarupa camera–bougie meningkatkan keberhasilan intubasi dan memperpendek waktu intubasi pada maneken simulasi kesulitan intubasi.Comparison of Success Rate and Duration of Intubation between Bougie and Bougie–Camera Prototype in Simulated Difficult Airway ManikinAirway management is fundamental for anesthesiologist. Fiberoptic is still the gold standard for difficult intubation but its expensive price and complicated handling limit its use. Bougie–camera prototype is one of the new modalities that is expected to overcome these limitations and bridge the gap between simple bougie and very sophisticated fiberoptic. The aim of this study was to compare the success rate and duration of intubation between bougie and bougie–camera prototype in simulated difficult airway manikin at Dr. Hasan Sadikin General Hospital Bandung. This experimental analytic study was conducted on 41 fifth semester anesthesiology residents of the Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital who performed intubation with bougie and bougie–camera prototype alternately on  simulated difficult airway mannequin using permutation block randomization method. This study was held during the period of 16–24th of October 2018. The success rate and duration of intubation were recorded and analyzed statistically by Mc. Nemar and Wilcoxon tests. The rate of successful intubation with bougie was 39% and 100% with bougie–camera prototype (p<0.001). Duration of intubation with bougie and bougie–camera prototype  was 18.81 (12.19) seconds and 7.0 (1.47) seconds (p<0.001). The conclusion of this study is bougie–camera prototype increases the success rate of intubation and shortens the duration of intubation on simulated difficult airway on mannequin.

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