scholarly journals Contact force exerted on the maxillary incisors by direct laryngoscopy with mcgrath video laryngoscope in predicted difficult intubation

2021 ◽  
Vol 4 (2) ◽  
pp. 73-77
Author(s):  
Doddy Setiawan ◽  
Tjokorda Gde Agung Senapathi ◽  
I Gede Budiarta ◽  
I Gusti Ngurah Mahaalit Aribawa
Keyword(s):  
Contact Force ◽  
Difficult Intubation ◽  
Significant Risk ◽  
Dental Trauma ◽  
Descriptive Study ◽  
Video Laryngoscope ◽  
Special Instrument ◽  
Difficult Airways ◽  
Maxillary Incisors ◽  
Difficult Cases

Patients with difficult airways who are going to undergo surgery under general anesthesia require special consideration from an anesthesiologist. Knowing the most significant risk of morbidity and mortality is often due to difficult cases of airway management. One of the most common complications and often becomes lawsuits in the field of anesthesia is dental trauma that occurs during the intubation process due to contact from laryngoscope blade to the teeth. This descriptive study will show the measured force exerted on the maxillary incisors at the time of performing laryngoscopy using a McGrath video laryngoscope in patients with a potentially difficult intubation (LEMON criteria ≥ 3). The contact force exerted on the maxillary incisors is measured using a special instrument. The contact force exerted on the maxillary incisors in patients with a potentially problematic airway was discovered to vary.

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 OUTCOME OF DELAYED REPLANTED AVULSED MAXILLARY INCISORS

2020 ◽  
pp. 6-7
Author(s):  
Seema Yadav
Keyword(s):  
Case Report ◽  
Dental Trauma ◽  
Age Group ◽  
Facial Growth ◽  
Tooth Avulsion ◽  
Maxillary Incisors ◽  
Surrounding Bone

Tooth avulsion occurs most frequently in the age group of 7 to 14 years with maxillary central incisors predominantly affected. Avulsion usually occurs in patients during the period of facial growth, therefore in such situation, it is necessary to maintain the replanted tooth and the surrounding bone till the growth is complete . This case report describes the progressive replacement resorption of delayed replanted avulsed maxillary central and lateral incisors following dental trauma after four years

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.

scholarly journals Comparison of Laryngoscopic Views between C-MAC™ and Conventional Laryngoscopy in Patients with Multiple Preoperative Prognostic Criteria of Difficult Intubation. An Observational Cross-Sectional Study

Medicina ◽  
2019 ◽  
Vol 55 (12) ◽  
pp. 760
Author(s):  
Aikaterini Amaniti ◽  
Panagiota Papakonstantinou ◽  
Dimitrios Gkinas ◽  
Ioannis Dalakakis ◽  
Evangelia Papapostolou ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Difficult Intubation ◽  
Elective Surgery ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Cross Sectional Study ◽  
Laryngoscopic View ◽  
Cross Sectional ◽  
Intubation Difficulty ◽  
Difficulty Scale

Background and Objectives: Video laryngoscopy has been proven useful under difficult airway scenarios, but it is unclear whether anticipated improvement of visualization is related to specific difficult intubation prognostic factors. The present study evaluated the change in laryngoscopic view between conventional and C-MAC® laryngoscopy and the presence of multiple difficult intubation risk factors. Materials and Methods: Patients scheduled for elective surgery with >2 difficult intubation factors, (Mallampati, thyromental distance (TMD), interinscisor gap, buck teeth, upper lip bite test, cervical motility, body mass index (BMI)) were eligible. Patients underwent direct laryngoscopy (DL) followed by C-MAC™ laryngoscopy (VL) and intubation. Change of view between DL and VL, time for best view, intubation difficulty scale (IDS) and correlation between prognostic factors, laryngoscopic view improvement, and IDS were measured. Results: One-hundred and seventy-six patients completed the study. VL lead to fewer Cormarck–Lehane (C/L) III-IV, compared to DL (13.6% versus 54.6%, p < 0.001). The time to best view was also shorter (VL: 10.82 s, DL: 12.08 s, p = 0.19). Mallampati III-IV and TMD ≤ 6 cm were related to improvement of C/L between DL and VL. Logistic regression showed these two factors to be a significant risk factor of the glottis view change (p = 0.006, AUC-ROC = 0.57, 95% CI: 0.47–0.66). 175/176 patients were intubated with VL. 108/176 were graded as 0 < IDS ≤ 5 and 12/176 as IDS > 5. IDS was only correlated to the VL view (p < 0.0001). Conclusion: VL improved laryngoscopic view in patients with multiple factors of difficult intubation. Mallampati and TMD were related to the improved view. However, intubation difficulty was only related to the VL view and not to prognostic factors.

Video Laryngoscopy in the Prehospital Setting

2009 ◽  
Vol 24 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Lars P. Bjoernsen ◽  
Bruce Lindsay
Keyword(s):  
Airway Management ◽  
Case Reports ◽  
Video Laryngoscope ◽  
Prehospital Setting ◽  
Video Laryngoscopy ◽  
Cervical Spine Injuries ◽  
Emergency Airway ◽  
Spine Mobility ◽  
Prehospital Emergency ◽  
Difficult Airways

AbstractIn the prehospital setting, the emergency care provider must anticipate that some patients will manifest with difficult airways. The use of video laryngoscopy to secure an airway in the prehospital setting has not been explored widely, but has the potential to be a useful tool. This article briefly reviews some of the major video laryngoscopes on the market and their usefulness in the prehospital setting. Studies and case reports indicate that the video laryngoscope is a promising device for emergency intubation, and it has been predicted that, in the future, video laryngoscopy will dominate the field of emergency airway management.Direct laryngoscopy always should be retained as a primary skill; however, the video laryngoscope has the potential to be a good primary choice for the patient with potential cervical spine injuries or limited jaw or spine mobility, and in the difficult-to-access patient.The role of video laryngoscopes in securing an airway in head and neck trauma victims in the prehospital setting has yet to be determined, but offers interesting possibilities. Further clinical studies are necessary to evaluate its role in airway management by prehospital emergency medical services.

Ribbond for Treatment of Complicated Crown Fractures: Report of 3 Cases

2012 ◽  
Vol 37 (2) ◽  
pp. 149-152
Author(s):  
Ozlem Martı Akgun ◽  
Ceyhan Altun ◽  
Gunseli Guven ◽  
Feridun Basak
Keyword(s):  
High Resistance ◽  
International Association ◽  
Dental Trauma ◽  
High Strength ◽  
Tooth Morphology ◽  
Female Patients ◽  
Aesthetic Properties ◽  
Tooth Preparation ◽  
Maxillary Incisors ◽  
Polyethylene Fibers

Dental trauma is relatively common and can occur secondary to sporting injuries, falls, fights, or accidents. According to the International Association of Dental Traumatology, 50% of children experience dental trauma between the ages of 8 to 12. There are many options for endodontic and restorative treatments of traumatized teeth. Ribbond, which was introduced in the market in 1992, consists of bondable, reinforced ultra-high strength polyethylene fibers. Ribbond may be an option for the treatment of traumatized teeth because of its aesthetic properties; absence of additional tooth preparation; and its high resistance to traction, which allows it to easily adapt to tooth morphology. In this report, we describe endodontic and restorative treatments using Ribbond for 3 female patients with horizontal complicated crown fractures of the maxillary incisors.

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