Use of the TrachView videoscope as an adjunct to direct laryngoscopy for teaching orotracheal intubation

2012 ◽  
Vol 19 (3) ◽  
pp. 196-199
Author(s):  
Lynn P. Roppolo ◽  
Paul F. White ◽  
Benjamin Hatten ◽  
Linda S. Hynan ◽  
Paul E. Pepe
Keyword(s):  
Direct Laryngoscopy ◽  
Orotracheal Intubation

Evaluation of the cardiovascular responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy

2000 ◽  
Vol 12 (7) ◽  
pp. 503-508 ◽  
Author(s):  
Yushi U Adachi ◽  
Isao Takamatsu ◽  
Kazuhiko Watanabe ◽  
Yoshitaka Uchihashi ◽  
Hideyuki Higuchi ◽  
...  
Keyword(s):  
Direct Laryngoscopy ◽  
Cardiovascular Responses ◽  
Orotracheal Intubation ◽  
Television Monitoring

Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients

JAMA ◽  
2017 ◽  
Vol 317 (5) ◽  
pp. 483 ◽  
Author(s):  
Jean Baptiste Lascarrou ◽  
Julie Boisrame-Helms ◽  
Arthur Bailly ◽  
Aurelie Le Thuaut ◽  
Toufik Kamel ◽  
...  
Keyword(s):  
Direct Laryngoscopy ◽  
Orotracheal Intubation ◽  
Video Laryngoscopy ◽  
Icu Patients ◽  
First Pass

Cervical Spine Motion with Direct Laryngoscopy and Orotracheal Intubation

1996 ◽  
Vol 85 (1) ◽  
pp. 26-36 ◽  
Author(s):  
Paul D. Sawin ◽  
Michael M. Todd ◽  
Vincent C. Traynelis ◽  
Stella B. Farrell ◽  
Antoine Nader ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Direct Laryngoscopy ◽  
Sagittal Plane ◽  
Human Subjects ◽  
Orotracheal Intubation ◽  
Segmental Motion ◽  
Macintosh Blade ◽  
Spine Motion ◽  
Reproducible Method ◽  
Cervical Motion

Background Cervical spine kinetics during airway manipulation are poorly understood. This study was undertaken to quantify the extent and distribution of segmental cervical motion produced by direct laryngoscopy and orotracheal intubation in human subjects without cervical abnormality. Methods Ten patients without clinical or radiographic evidence of cervical spine abnormality underwent laryngoscopy using a #3 Macintosh blade while under general anesthesia and neuromuscular blockade. Cervical motion was recorded with continuous lateral fluoroscopy. The intubation sequence was divided into distinct stages and the corresponding fluoroscopic images were digitized. Segmental motion, occiput through C5, was calculated for each stage using the digitized data. Results During exposure and laryngoscope blade insertion, minimal displacement of the skull base and rostral cervical vertebral bodies was observed. Visualization of the larynx created superior rotation of the occiput and C1 in the sagittal plane, and mild inferior rotation of C3-C5. C2 maintained nearneutral posture. This pattern of displacement resulted in extension at each motion segment, with the most significant motion produced at the occipitoatlantal and atlantoaxial joints (mean = 6.8 degrees and 4.7 degrees, respectively). Intubation created slight additional superior rotation at the occiput and C1, without substantial alteration in the posture of C2-C5. After laryngoscope removal, position trended toward baseline at all levels, although exact neutral posture was not regained. Conclusions This investigation quantifies the behavior of the normal cervical spine during direct laryngoscopy with a Macintosh blade. With this maneuver, the vast majority of cervical motion is produced at the occipitoatlantal and atlantoaxial joints. The subaxial cervical segments (C2-C5) are displaced only minimally. This study establishes a highly reliable and reproducible method for analyzing cervical motion in real time.

Manual In-Line Stabilization Increases Pressure Applied by the Laryngoscope Blade During Direct Laryngoscopy and Orotracheal Intubation

2011 ◽  
Vol 55 (1) ◽  
pp. 54
Author(s):  
Brandon G. Santoni ◽  
Bradley J. Hindman ◽  
Christian M. Puttlitz ◽  
Julie B. Weeks ◽  
Nathaniel Johnson ◽  
...  
Keyword(s):  
Direct Laryngoscopy ◽  
Orotracheal Intubation ◽  
Laryngoscope Blade

scholarly journals Bacteraemia during Direct Laryngoscopy and Endotracheal Intubation: A Study Using a Multiple Culture, Large Volume Technique

1997 ◽  
Vol 25 (3) ◽  
pp. 239-244 ◽  
Author(s):  
S. Goldstein ◽  
G. L. Wolf ◽  
S. J. Kim ◽  
M. F. Sierra ◽  
C. Whitmire ◽  
...  
Keyword(s):  
Endotracheal Intubation ◽  
Direct Laryngoscopy ◽  
American Heart ◽  
Prophylactic Antibiotic ◽  
Heart Association ◽  
Orotracheal Intubation ◽  
Prophylactic Antibiotics ◽  
Blood Cultures ◽  
Aerobic And Anaerobic ◽  
Anaerobic Media

Bacteraemia secondary to orotracheal intubation has been reported to occur in 0-5.3% of patients. Bacteraemia detection is dependent upon several factors including the volume of blood per culture and the number of cultures. Prior studies used small volumes of blood and one or two cultures, and may therefore have underestimated the incidence of bacteraemia. Sixty-two adult patients who underwent direct laryngoscopy and endotracheal intubation were studied. Baseline blood cultures were sterile in all patients. After intubation, four blood cultures were obtained in ten minutes, with 10 ml being evenly divided between aerobic and anaerobic media. Two patients (3.2%) became bacteraemic. This is a lower incidence than occurs in association with other procedures for which The American Heart Association does not recommend administration of prophylactic antibiotics. Therefore, prophylactic antibiotics are not recommended prior to direct laryngoscopy. However, when a prophylactic antibiotic is administered prior to surgery, it would be best to administer the antibiotic prior to direct laryngoscopy and intubation.

scholarly journals Craniocervical Motion during Direct Laryngoscopy and Orotracheal Intubation with the Macintosh and Miller Blades

2007 ◽  
Vol 107 (6) ◽  
pp. 884-891 ◽  
Author(s):  
Scott A. LeGrand ◽  
Bradley J. Hindman ◽  
Franklin Dexter ◽  
Julie B. Weeks ◽  
Michael M. Todd
Keyword(s):  
Direct Laryngoscopy ◽  
Sagittal Plane ◽  
Macintosh Laryngoscope ◽  
Cervical Vertebra ◽  
Random Order ◽  
Orotracheal Intubation ◽  
Mean Difference ◽  
Routine Practice ◽  
Macintosh Blade ◽  
Cervical Motion

Background Previous studies have characterized segmental craniocervical motion that occurs during direct laryngoscopy and intubation with a Macintosh laryngoscope blade. Comparable studies with the Miller blade have not been performed. The aim of this study was to compare maximal segmental craniocervical motion occurring during direct laryngoscopy and orotracheal intubation with Macintosh and Miller blades. Methods Eleven anesthetized and pharmacologically paralyzed patients underwent two sequential orotracheal intubations, one with a Macintosh blade and another with a Miller in random order. During each intubation, segmental craniocervical motion from the occiput to the fifth cervical vertebra (C5) was recorded using continuous lateral cinefluoroscopy. Single-frame images corresponding to the point of maximal cervical motion for both blade types were compared with a preintubation image. Using image analysis software, angular change in the sagittal plane at each of five intervertebral segments was compared between the Macintosh and Miller blades. Results Extension at occiput-C1 was greater with the Macintosh blade compared with the Miller (12.1 degrees +/- 4.9 degrees vs. 9.5 degrees +/- 3.8 degrees, respectively; mean difference = 2.7 degrees +/- 3.0 degrees; P = 0.012). Total craniocervical extension (occiput-C5) was also greater with the Macintosh blade compared with the Miller (28.1 degrees +/- 9.5 degrees vs. 23.2 degrees +/- 8.4 degrees, respectively; mean difference = 4.8 degrees +/- 4.4 degrees; P = 0.008). Conclusions Compared with the Macintosh, the Miller blade was associated with a statistically significant, but quantitatively small, decrease in cervical extension. This difference is likely too small to be important in routine practice.

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