Clinical Trial of a New Lightwand Device (Trachlight) to Intubate the Trachea

Hung, Orlando; Pytka, Saul; Morris, Ian R.; Murphy, Michael; Launcelott, Gordon; Stevens, Sheryl; MacKay, William M.; Stewart, Robbie

doi:10.1097/00132586-199608000-00059

Cited by 37 publications

(57 citation statements)

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“…Our observations are not directly applicable to experienced operators, because it is rare to require more than 30 sec to secure the airway with experienced anesthesiologists even with the Macintosh laryngoscope. 2 However, none of the participants in this study had prior experience in using the AWS in patients. A short demonstration of the device and a brief practice with a manikin were the only requirements to perfect tracheal intubations.…”

Section: Instructions For Letters To the Editormentioning

confidence: 97%

Airway Scope®: initial clinical experience with novice personnel

Hirabayashi

2007

Can J Anesth/J Can Anesth

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Section: Instructions For Letters To the Editormentioning

confidence: 97%

Airway Scope®: initial clinical experience with novice personnel

Hirabayashi

2007

Can J Anesth/J Can Anesth

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“…4,5 Avoiding direct-vision laryngoscopy by using the lightwand transillumination technique could theoretically result in less stimulation than direct laryngoscopy and may protect from sympathetic hyperactivity.…”

Section: Méthode : Ayant Reçu L'approbation De L'institution Et Le Comentioning

confidence: 99%

L’intubation endotrachéale avec stylet lumineux ou laryngoscope produit des variations hémodynamiques comparables chez des malades atteints de cardiopathie ischémique

Móntes

Giraldo

Betancur

et al. 2003

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : To asses the cardiovascular changes after either lightwand or conventional laryngoscopic endotracheal intubation (EI) in patients with coronary artery disease.M Me et th ho od ds s: : Following Institutional approval and informed consent, 80 consecutive patients undergoing elective coronary artery bypass grafting were enrolled in this prospective, controlled, single-blinded study. General anesthesia was induced with fentanyl 5 µ·kg -1 and thiopental 5 mg·kg -1 followed by pancuronium 0.1 mg·kg -1 . After loss-of-eyelash reflex the lungs were manually ventilated with 2% isoflurane in oxygen for five minutes. Patients were then randomly allocated to receive either the lightwand (lightwand group, n = 41) or direct-vision laryngoscopy (laryngoscopy group, n = 39). Heart rate (HR) and direct blood pressure were recorded before induction, after induction but before EI, during EI, immediately after EI and at ten-second intervals for the following five minutes. Hemodynamic management during induction was standardized. Hypotension was treated with volume replacement, ephedrine, or phenylephrine as indicated; hypertension was treated with iv nitroglycerin; tachycardia was treated with boluses of esmolol; and, bradycardia was treated with atropine or ephedrine.

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“…The lightwand (Trachlight Ò , Laerdal Medical, Armonk, NY, USA) is a simple technique that has long been proven to be effective in cases of difficult intubation [4][5][6]. In addition, its use has been reported to be associated with reduced cervical spine movement during tracheal intubation without an increase in intubation time [7].…”

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confidence: 99%

Tracheal intubation using the Airtraq^®: a comparison with the lightwand

2010

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SummaryThe Airtraq Ò laryngoscope is a new tracheal intubation device that has been developed for the management of normal and difficult airways. As with the lightwand, the Airtraq can be used without placing the patient in the 'sniffing position' for direct laryngoscopy. The purpose of this study was to compare the efficacy and usability of the Airtraq with that of the lightwand during routine airway management. One hundred ASA 1-2 patients scheduled for elective surgery under general anaesthesia were randomly assigned to either the Airtraq (n = 50) or lightwand (n = 50). Intubation was performed by one of two anaesthetists experienced in the use of both devices. There was no difference in success rate, intubation time, and haemodynamic response between the two groups. In conclusion, the Airtraq Ò and lightwand have similar efficacy in patients without risk factors for difficult intubation.

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Clinical Trial of a New Lightwand Device (Trachlight) to Intubate the Trachea

Cited by 37 publications

References 0 publications

Airway Scope®: initial clinical experience with novice personnel

Airway Scope®: initial clinical experience with novice personnel

L’intubation endotrachéale avec stylet lumineux ou laryngoscope produit des variations hémodynamiques comparables chez des malades atteints de cardiopathie ischémique

Tracheal intubation using the Airtraq^®: a comparison with the lightwand

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Clinical Trial of a New Lightwand Device (Trachlight) to Intubate the Trachea

Cited by 37 publications

References 0 publications

Airway Scope®: initial clinical experience with novice personnel

Airway Scope®: initial clinical experience with novice personnel

L’intubation endotrachéale avec stylet lumineux ou laryngoscope produit des variations hémodynamiques comparables chez des malades atteints de cardiopathie ischémique

Tracheal intubation using the Airtraq®: a comparison with the lightwand

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Tracheal intubation using the Airtraq^®: a comparison with the lightwand