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

Anaesthesia ◽  
2010 ◽  
Vol 65 (4) ◽  
pp. 353-357 ◽  
Author(s):  
C. Karsli ◽  
J. Armstrong ◽  
J. John
Keyword(s):  
Pilot Study ◽  
Video Laryngoscope ◽  
Direct Laryngoscope ◽  
Paediatric Patients ◽  
Difficult Airways

scholarly journals A Comparison of the C-MAC Video Laryngoscope to the Macintosh Direct Laryngoscope for Intubation in the Emergency Department

2012 ◽  
Vol 60 (6) ◽  
pp. 739-748 ◽  
Author(s):  
John C. Sakles ◽  
Jarrod Mosier ◽  
Stephen Chiu ◽  
Mari Cosentino ◽  
Leah Kalin
Keyword(s):  
Emergency Department ◽  
Video Laryngoscope ◽  
Direct Laryngoscope

scholarly journals Successful tracheal intubation with video laryngoscope when awake fiberoptic bronchoscopy failed in a patient with hypopharyngeal mass

2017 ◽  
Vol 4 (1) ◽  
pp. 35-37
Author(s):  
Somnath Goyal ◽  
Anita Kulkarni
Keyword(s):  
Computed Tomography ◽  
Fiberoptic Bronchoscopy ◽  
Video Laryngoscope ◽  
Clinical Scenario ◽  
Tube Insertion ◽  
Feeding Jejunostomy ◽  
Difficult Airways ◽  
Difficult Endotracheal Intubation ◽  
Carcinoma Of Hypopharynx ◽  
Ryle’S Tube

Video laryngoscope is one of best alternative in managing difficult airways. Our patient presented with left side neck pain and hoarseness of voice for three months, dysphagia to solids for two months. Computed tomography revealed large hypopharyngeal mass and a diagnosis of carcinoma of hypopharynx was made. As endoscopic Ryle’s tube insertion by gastroenterologist was unsuccessful so he was posted for Feeding jejunostomy under general anaesthesia. We anticipated difficult endotracheal intubation. Our first attempt to secure airway with awake fiberoptic bronchoscopic intubation was unsuccessful. Using an alternative method with bougie and video laryngoscopy, the trachea was successfully intubated. In rare clinical scenario fiberoptic bronchoscopic intubation may fail, hence we need to be prepared with the backup plan for airway management. A video laryngoscope might be useful in such situations.

scholarly journals A Comparative Study of Intubation Performance between Channelled vs. Non-Channelled Blade of King Vision Video Laryngoscope in Orotracheal Intubation

2021 ◽  
Vol 8 (12) ◽  
pp. 732-736
Author(s):  
Shalini Bajpai
Keyword(s):  
Comparative Study ◽  
Statistical Difference ◽  
Orotracheal Intubation ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
Anaesthesia Practice ◽  
Measured Time ◽  
Difficult Airways

BACKGROUND Video laryngoscope is an important tool for orotracheal intubation in anaesthesia practice particularly in difficult airways. It provides an indirect view of glottis without the need of alignment of oropharyngeal-laryngeal axis. We compared the intubation characteristics of channelled versus non-channelled blades of King VisionTM Video Laryngoscope. METHODS In this study 60 patients were randomly allocated to two groups; group C were intubated with channelled and group NC with non-channelled blade of King Vision. We measured time for glottis visualisation and intubation time using both blades. Percentage of glottis opening (POGO), insertion attempts, intubation attempts, and ease of intubation were also assessed. RESULTS The time for glottis visualisation was 8.5 ± 3 seconds for group C and 7 ± 2 seconds for group NC. Intubation time was 24 ± 8.5 seconds for group C and 44 ± 5 seconds for NC. There was no statistical difference in POGO, insertion attempts, intubation attempts and ease of intubation between the two groups. CONCLUSIONS We concluded that the time for glottis recognition is longer but intubation time is shorter when using King Vision video laryngoscope channelled blade as compared to non-channelled blade. KEYWORDS Video Laryngoscope, King Vision, Channelled, Non-Channelled

scholarly journals Comparison of videolaryngoscope & direct laryngoscope for intubation in critically ill patients: A Bayesian meta-analysis

2020 ◽  
Author(s):  
Souvik Maitra ◽  
Anirban Som ◽  
Sulagna Bhattacharjee
Keyword(s):  
Bayesian Model ◽  
Observational Studies ◽  
Meta Analysis ◽  
Credible Interval ◽  
Video Laryngoscope ◽  
Bayesian Methodology ◽  
Direct Laryngoscope ◽  
Randomized Controlled ◽  
Intubation Success ◽  
Intubation Success Rate

AbstractPurposeTo identify the benefit of video laryngoscope (VL) over direct laryngoscope (DL) for intubation in the intensive care unit (ICU)Material & MethodsRandomized controlled trials (RCTs) comparing VL with DL for intubation in ICU by was conducted in conventional frequentist methodology and also incorporated of the previous evidences from observational studies in Bayesian methodology.ResultsData of 1464 patients from six RCTs have been included in this meta-analysis. In conventional meta-analysis of RCTs, first attempt intubation success rate was similar between VL and DL group [p=0.39]. Rate of esophageal intubation was significantly less with VL [p=0.03] and glottic visualization was significantly improved with VL in comparison to DL [p=0.009]. Time to intubation was similar in both the group [p=0.48]. When evidences from a meta-analysis of observational studies incorporated in Bayesian model, first attempt intubation success is significantly higher with VL [posterior median log OR (95% credible interval) 0.50 (0.06, 1.00)].ConclusionEvidences from both observational studies and RCTs synthesized in Bayesian methodology suggest that use of VL for endotracheal intubation in critically patients may be associated with higher first intubation success when compared to DL.

scholarly journals Should the Glidescope video laryngoscope be used first line for all oral intubations or only in those with a difficult airway? A review of current literature

2018 ◽  
Vol 28 (12) ◽  
pp. 322-333 ◽  
Author(s):  
Terrie-Marie Russell ◽  
Anil Hormis ◽  
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Macintosh Laryngoscope ◽  
Review Literature ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
First Line ◽  
Glottic View ◽  
Glidescope Video Laryngoscope ◽  
Difficult Airways

The purpose of this study was to review literature that looked into the efficacy of the Glidescope video laryngoscope versus the Macintosh laryngoscope in oral endotracheal intubations. We aimed to answer the question ‘Should the Glidescope video laryngoscope laryngoscopes be used as first line intubation aids or only in the difficult airway?’ A systematic search of electronic databases was made. The inclusion criteria included: Glidescope, video laryngoscope, and Macintosh laryngoscope in human studies. The study aimed to compare first attempt success rate, glottic view and intubation time in papers dating between 2009 and 2017. Eleven trials with a total of 7,919 patients with both difficult and normal airways were included. The trials showed an improvement in first attempt success rate and glottic view with the Glidescope video laryngoscope especially in those with difficult airways. Overall time to intubate showed no significant differences between the Glidescope video laryngoscope and the Macintosh laryngoscope although it was identified that with increased training and experience with the Glidescope video laryngoscope, intubation time was reduced. Glidescope video laryngoscopes show advantages over the Macintosh laryngoscopes in obtaining better glottic views in those with difficult airways. However its use is not supported in all routine intubations.

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