Comparison of the GlideScope Videolaryngoscope to the Standard Macintosh for Intubation by Pediatric Residents in Simulated Child Airway Scenarios

Núñez, Antonio Rodríguez; Oulego-Erróz, Ignacio; Pérez-Gay, Laura; Cortiñas-Díaz, Julio

doi:10.1097/pec.0b013e3181f39b87

Cited by 30 publications

(30 citation statements)

References 22 publications

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“…The rapid progression in time to intubation with the King Vision™ VL seen in this data set is consistent with a study by Ayoub et al which demonstrated a more rapid acclimatization to VL with a drastic decrease in time to intubation over 3 successive attempts when compared to DL on surgical patients undergoing anesthesia [5]. Several studies have demonstrated the ease of use of many videolaryngoscopes with a shorter learning curve as compared to DL [5,13]. In addition, any level user can easily gain skills in VL because glottic visualization is not diminished to the same degree, nor by the same factors that limit DL [4,18].…”

Section: Discussionsupporting

confidence: 77%

“…This is consistent with a study by Murphy comparing King Vision™ to DL [6,10,11]. One frequent finding is that increased visualization of the glottic opening using VL may not proportionally translate to improved success or faster intubation times [2,6,11,13,14]. DL failures are typically due to inability to visualize glottic opening [14].…”

Section: Discussionsupporting

confidence: 75%

“…Having a device that is easy to use and portable makes continuing training easier to access and allows the retention of intubation skills even in a setting of infrequent intubation opportunities. Furthermore, it has been shown that training on manikins is an adequate strategy if events to train are rare or unpredictable [13]. Use of VL accelerates skill acquisition, can be used as the primary training technique, and can be used to retrain on manikins for infrequent practitioners with sufficient quality in training.…”

Section: Discussionmentioning

confidence: 99%

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A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Vision™ Videolaryngoscope and Direct Laryngoscopy

Triplett¹

2016

JAICM

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Objective: Compare intubation by medical students with direct laryngoscopy (DL) versus King Vision™ videolaryngoscope in training and cadaveric models.Methods: 24 medical students with no experience intubating humans were randomized into two groups: DL first or King Vision™ videolaryngoscope first. Following a short training, techniques were practiced ona manikin model. Intubation success, ease of use, and one timed manikin intubation was recorded. Students crossed, repeated training and trial with other technique. Students then intubated 3 cadavers with their initial technique, crossed over to intubate these same cadavers using their second technique. Cormack-Lehane (C-L) view of the glottic opening, time to intubation, intubation success, ease of use, and preferred technique were recorded. Results:In manikin intubation, success rate was not significantly different. Mean time to intubation using DL was 19.67 seconds, 11.03 seconds with King Vision™. The median "ease of use" for DL was 7; King Vision™ was 4 (0 easiest, 10 hardest). In cadaver model, the median C-L view was 2 for DL, 1 for King Vision™. Success rates were 82% for DL and 93% for King Vision™. The median "ease of use" for DL was 5 and King Vision™ was 4. Conclusion:The King Vision™ videolaryngoscope had statistically significant improved visualization of the glottic opening, intubation success rate when compared to DL, and was rated easier to use. Given the portable nature, low cost, ease of use, and easy maintenance; the King Vision™ videolaryngoscope should be considered an excellent device for intubation training orany emergent setting where advanced airway management is required.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Vision™ Videolaryngoscope and Direct Laryngoscopy

Triplett¹

2016

JAICM

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“…In a study conducted with internists which compared Macintosh laryngoscopy with Glidescope video-laryngoscopy, four scenarios were tested on mannequins. It was found that intubation with Glidescope video-laryngoscope was not more succesful relative to the Macintosh type and the necessity of specific training programmes for the development of the operative skills was emphasized (Rodriguez-Nunez et al, 2010). Maruyama et al compared intubation success rates obtain with video-laryngoscopes or Macintosh laryngoscope blades in13 patients scheduled for elective surgery and found   All intubations were performed successfully in both groups and no significant difference was found between the two groups in terms of the number of intubation attempts (p> 0.05) (Table III).…”

Section: Discussionmentioning

confidence: 99%

Assesment of Macintosh Laryngoscope and Truview EVO2 Video-laryngoscope With Respect to Hemodynamic and Intubation Quality in Patients With Presumptive Difficult Intubation

TORUN¹,

TÜR²,

ÖZKAN³

et al. 2011

jecm

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This study aims to compare Macintosh laryngoscope and Truview EVO2 video-laryngoscope with respect to the quality of glottic image, the success rate of intubation and their impact on the duration of intubation, hemodynamic responses and also related complications in patients with expected difficult intubation according to the Mallampati scoring system. Sixty patients in ASA I-II group ranging from 18-65 years of age were included in the study. Patients were randomly divided into two groups of 30 cases as group M (the group intubated with Macintosh laryngoscope) and Group V (the group intubated with Truview EVO2 video-laryngoscope). C-L (Cormack-Lehanne) score detected during intubation, duration of intubation, neck extansion needs, the success of intubation, complications, and antihypertensive requirement were recorded. Preoperatively, before induction, after induction, immediately after intubation, after intubation, 1st, 2nd, 3rd, 4th and 5 minute heart rate, systolic artesial pressure, diastolic arterial pressure, mean arterial pressure, peripheral oxygen saturation were recorded. There was a significant difference between both groups as for the quality of glottic images obtained. C-L III score was rated for 1 patient in Group M, and 10 patients in Group V (p<0.05) . Duration of intubation was 23 secs in Group M, and 42 secs in Group V, respectively (p<0.05). During intubation neck extension was significantly higher in Group M (p<0.05). Bleeding complication was observed in one patient's mouth during intubation in Group M while no complications were observed in Group V (p>0.05) . Number of attempts of intubation, hemodynamic parameters and need for antihypertensive showed no significant difference between the two groups (p>0.05). Truview EVO2 video-laryngoscope may be preferred to Macintosh blade laryngoscope because of better glottic and orafaringeal image acquisition in patients expected with difficult intubation and providing successful intubation in patients with contraindicated neck extension.

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“…Although using a videolaryngoscope may result in quicker visualization of the glottic aperture, this does not always result in a more rapid and successful intubation (14,15). However, the clinician should bear in mind that using a stylet and correctly shaping the tracheal tube play an important role in facilitating tracheal intubation with a videolaryngoscope, especially in the paediatric patient.…”

Section: Discussionmentioning

confidence: 99%

Management of Difficult Airway in a Failed Intubation with Videolaryngoscopy in an Infant Patient

Kuş¹,

Berk²,

Gürkan³

et al. 2014

Turk J Anesth Reanim

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The videolaryngoscope is a useful alternative airway device for anaesthesia management of difficult airways. However videolaryngoscope intubation may fail due to lack of experience, incorrect application, inappropriate stylet, prior traumatic attempts, restricted cervical movement and limited oropharyngeal airspace. Using a stylet and correctly shaped endotracheal tube is important to facilitate tracheal intubation with the videolaryngoscope, especially in paediatric patients. However, anatomical difficulty in the placement of the laryngoscope blade, association with facial deformities such as micrognathia, having a short neck, cleft palate and being younger than 1 year increase the likelihood of a difficult airway. In this report, we present our approach to difficult airway management in a failed intubation with a videolaryngoscope in an infant undergoing cleft palate surgery.

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Comparison of the GlideScope Videolaryngoscope to the Standard Macintosh for Intubation by Pediatric Residents in Simulated Child Airway Scenarios

Cited by 30 publications

References 22 publications

A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Vision™ Videolaryngoscope and Direct Laryngoscopy

A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Vision™ Videolaryngoscope and Direct Laryngoscopy

Assesment of Macintosh Laryngoscope and Truview EVO2 Video-laryngoscope With Respect to Hemodynamic and Intubation Quality in Patients With Presumptive Difficult Intubation

Management of Difficult Airway in a Failed Intubation with Videolaryngoscopy in an Infant Patient

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