scholarly journals A Comparison of Cervical Spine Movement during Tracheal Intubation when Using a Pentax Airway Scope or the GlideScope Video Laryngoscopy with Fluoroscopy

2016 ◽  
Vol 7 (10) ◽  
Author(s):  
Nalinee Kovitwanawong ◽  
Lertluk Suwansukho ◽  
Teeranan Laohawiriyakamol ◽  
Thavat Chanchayanon
Keyword(s):  
Cervical Spine ◽  
Tracheal Intubation ◽  
Video Laryngoscopy ◽  
Airway Scope ◽  
Spine Movement

Cervical spine movement using the Airway Scope

Anaesthesia ◽  
2008 ◽  
Vol 63 (2) ◽  
pp. 207-208 ◽  
Author(s):  
S. H. McClelland ◽  
R. A. McCahon ◽  
A. M. Norris
Keyword(s):  
Cervical Spine ◽  
Airway Scope ◽  
Spine Movement

TRACHEAL INTUBATION DURING MANUAL INLINE STABILISATION: COMPARISON OF INTUBATING LARYNGEAL MASK AIRWAY™ VERSUS TRACHLIGHT®

2021 ◽  
pp. 60-62
Author(s):  
Manjunath Prabhu ◽  
Shwethapriya Rao ◽  
Arushi Gupta
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
P Value ◽  
Stabilization Method ◽  
Intubating Laryngeal Mask Airway ◽  
Effective Ventilation ◽  
Unstable Cervical Spine ◽  
Spine Movement

Introduction: Airway management with unstable cervical spine is a major challenge to anesthetist. Conventional direct laryngoscopy causes substantial movement of cervical spine and can cause neurological decit. Newer devices like Intubating Laryngeal Mask Airway(ILMA) and Trachlight avoid cervical spine movement. To compare rate of successful tracheal Aim: intubation with Intubating Laryngeal Mask Airway™ with Trachlight® in anaesthetised and paralysed adults with manual in line stabilization Method and Materials: 50 patients were included in the study and allocated in two groups. In the ILMA group ,patients were ventilated and then intubated through the ILma. IN the Trachlight group, patients were intubated using trachlight. Success rate , time taken for intubation and post operative sore throat and hoarseness of voice were compared between the two groups. Results: In the ILMA group,21 patients could be adequately ventilated in the rst attempt and 4 in second attempt. 12 patients could be successfully intubated. 9 patients could be intubated in the rst attempt and 3 patients in second attempt. In the Trachlight , 24 patients could be intubated in the rst attempt and one patient in second attempt. Intubation time was 14.08 ± 2.23 seconds in the ILMA group whereas in Trachlight group it was 26.48 ± 9.13 seconds(p value of <0.0001) In healthy anaesthetized,paralysed adults with manual in line stabiliz Conclusion: ation Trachlight assistance at tracheal intubation provides high rst attempt success.ILMA is an effective ventilation device, but an unacceptably high failure rate at blind tracheal intubation.

scholarly journals Cervical spine movement during laryngoscopy using the Airway Scope compared with the Macintosh laryngoscope

Anaesthesia ◽  
2007 ◽  
Vol 62 (10) ◽  
pp. 1050-1055 ◽  
Author(s):  
Y. Hirabayashi ◽  
A. Fujita ◽  
N. Seo ◽  
H. Sugimoto
Keyword(s):  
Cervical Spine ◽  
Macintosh Laryngoscope ◽  
Airway Scope ◽  
Spine Movement

scholarly journals Video Laryngoscopic Intubation Using the King VisionTM Laryngoscope in a Simulated Cervical Spine Trauma: A Comparison Between Non-Channeled and Channeled Disposable Blades

Diagnostics ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 139 ◽  
Author(s):  
Jiri Votruba ◽  
Tomas Brozek ◽  
Jan Blaha ◽  
Tomas Henlin ◽  
Tomas Vymazal ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Tracheal Intubation ◽  
Cervical Spine Injury ◽  
Primary Outcome ◽  
Subjective Assessment ◽  
Spine Injury ◽  
Success Rates ◽  
Neck Trauma ◽  
Time Required ◽  
Spine Movement

Videolaryngoscopes may reduce cervical spine movement during tracheal intubation in patients with neck trauma. This manikin study aimed to compare the performance of disposable non-channeled and channeled blades of the King Vision™ videolaryngoscope in simulated cervical spine injury. Fifty-eight anesthesiologists in training intubated the TruMan manikin with the neck immobilized using each blade in a randomized order. The primary outcome was the time needed for tracheal intubation, secondary aims included total success rate, the time required for visualization of the larynx, number of attempts, view of the vocal cords, and subjective assessment of both methods. Intubation time with the channeled blade was shorter, with a median time of 13 s (IQR 9–19) vs. 23 s (14.5–37.5), p < 0.001, while times to visualization of the larynx were similar in both groups (p = 0.54). Success rates were similar in both groups, but intubation with the non-channeled blade required more attempts (1.52 vs. 1.05; p < 0.001). The participants scored the intubation features of the channeled blade significantly higher, while visualization features were scored similarly in both groups. Both blades of the King Vision™ videolaryngoscope are reliable intubation devices in a simulated cervical spine injury in a manikin model when inserted by non-experienced operators. The channeled blade allowed faster intubation of the trachea.

scholarly journals Approach Combining the Airway Scope and the Bougie for Minimizing Movement of the Cervical Spine during Endotracheal Intubation

2009 ◽  
Vol 110 (6) ◽  
pp. 1335-1340 ◽  
Author(s):  
Ichiro Takenaka ◽  
Kazuyoshi Aoyama ◽  
Tamao Iwagaki ◽  
Hiroshi Ishimura ◽  
Yukari Takenaka ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Endotracheal Intubation ◽  
Cervical Vertebra ◽  
Video Laryngoscope ◽  
Intubation Attempt ◽  
Airway Scope ◽  
Significant Difference ◽  
Spine Motion ◽  
Spine Movement

Background The Airway Scope (AWS, AWS-S100; Hoya-Pentax, Tokyo, Japan), a recently introduced video laryngoscope, has been reported to reduce movement of the cervical spine during intubation attempts in comparison with conventional laryngoscopes. Use of the bougie as an aid for the AWS may cause further reduction. The authors compared cervical spine movement during intubation with the AWS with and without a bougie. Methods Thirty patients without cervical spine abnormality were randomized into two groups: intubation with AWS only and intubation with the AWS and the bougie. The cervical spine motion between the occiput (C0) and the fourth cervical vertebra (C4) was observed fluoroscopically, and change in movement between adjacent vertebrae created by each intubation method was compared. Time to intubation was also measured. Results Laryngoscopy with the AWS produced extension of the cervical spine segments assessed (C0-4). Median extension angle of the C0-4 during intubation using the AWS was reduced from 16.0 degrees without the bougie to 6.5 degrees with the bougie (P &lt; 0.01). There was no significant difference in time to intubation between them. Conclusions Use of the bougie resulted in significantly reduced extension of the cervical spine during intubation attempt with the AWS in patients with a normal cervical spine.

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