Educational suitability of new channel-type video-laryngoscope with AI-based glottis guidance system for novices wearing personal-protective-equipment

Choi, Jaesoon; Lee, Yoonje; Kang, Gu Hyun; Jang, Yong Soo; Kim, Wonhee; Choi, Hyun Young; Kim, Jae Guk

doi:10.1097/md.0000000000028890

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…10 But a cohort study in 2022 reported that patient with category hard to ventilate and hard to intubate with LEMON score >4 has higher failure risk in first attempt intubation. 11 In this patient, endotracheal intubation was successfully performed after second attempt with limited laryngeal view Cormack-Lehane class 3.…”

Section: Discussionmentioning

confidence: 80%

Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

Limalvin¹,

Kurniawan²

2023

Int J Res Med Sci

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I Ankylosing spondylitis (AS) known as autoimmune disease with chronic inflammation within vertebral bone, characterized with bamboo spine. AS with cervical and temporomandibular joint involvement can lead to difficult airway. In this report, we present an AS patient with severe ARDS (acute respiratory distress syndrome) due to COVID-19 who was successfully intubated using video laryngoscope. A-37 years old male, came to emergency room in agitated condition, history of AS with cervical spine and temporomandibular joint involvement, history of pulmonary tuberculosis in 2008, and haven’t been vaccinated (COVID-19). This patient was diagnosed with severe ARDS due to COVID-19 with GCS 3-1-3, respiratory rate 36 times per minute, maximum peripheral saturation only 90% with Jackson Rees and pCO2 103 mmHg. These conditions are indication for endotracheal intubation. With the aid of video laryngoscope, endotracheal intubation was successfully performed. Improvements of peripheral saturation and blood gas analysis were obtained after intubation. This patient was included in the criteria for intubation due to respiratory rate over 30 times per minute and pCO2 more than 100 mmHg. Based on difficult airway predictor (MOANS, LEMON, RODS and SHORT), this patient was categorized as hard to ventilate and hard to intubate so it is necessary to prepare supraglottic airway device if intubation fails or surgical cricothyrotomy if intubation and supraglottic device fail. In difficult airway conditions, endotracheal intubation is ideally performed without muscle relaxants or awake intubation. The use of video laryngoscope is a recommended procedure in difficult airway management as in AS patient or in head and neck trauma cases. The availability of video laryngoscope in every hospital will maximize airway management in emergency room in Indonesia.

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Section: Discussionmentioning

confidence: 80%

Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

Limalvin¹,

Kurniawan²

2023

Int J Res Med Sci

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“…Anesthesiologists who take an active role in aerosolgenerating procedures such as endotracheal intubation are six times more at risk of coronavirus infection than other healthcare workers [5]. In patients infected with Covid-19, using a video laryngoscope as an alternative to direct laryngoscopy is recommended to protect the intubator from infection and reduce intubation failure due to personal protective equipment worn to prevent exposure to infection [4]. Also, aerosol cans used to reduce the risk of Covid-19 transmission during intubation may make it difficult to maneuver the laryngoscope.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 10% of healthcare workers who perform endotracheal intubation on patients with suspected or confirmed Covid-19 are reported to be infected with Covid-19 [3]. In patients infected with Covid-19, the use of video laryngoscopes instead of direct laryngoscopy is recommended to protect the intubator from infection and to reduce intubation failure due to personal protective equipment worn to prevent exposure to infection [4]. However, the cost of video laryngoscopes limits their availability in all health institutions.…”

Section: Introductionmentioning

confidence: 99%

Conventional videolaryngoscope versus 3D printed videolaryngoscope

Erel,

Ümit Karacan

2023

J CLIN MED KAZ

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Background and objectives: In patients with Covid-19, using a video laryngoscope as an alternative to direct laryngoscopy is recommended to protect the intubator from infection and reduce intubation failures due to personal protective equipment. The cost of video laryngoscopes limits their availability in all healthcare institutions. The present study aimed to compare the efficacy and safety of 3D printed video laryngoscope and conventional video laryngoscope on intubation. Material and methods: 30 ASA I-II patients who were not considered to have a difficult airway were included in the study after obtaining the ethics committee approval from Adnan Menderes University Clinical Research Ethics Committee. Patients were randomly divided into two groups, group 1 and group 2. After the induction of anesthesia under standard monitoring, the Cormack Lehane score was recorded by direct laryngoscopy in all patients. Patients in group 1 were intubated with a 3D-printed video laryngoscope. In contrast, patients in group 2 were intubated with a conventional video laryngoscope (STORZ C-mac videolaryngoscope). Intubation time, number of attempts, and hemodynamic values of patients with early postoperative complications were recorded. The data were recorded and statistically evaluated. Results: There were no significant differences between the groups regarding demographic data, BMI, and hemodynamic data. The Cormack Lehane score was calculated as 1.6±0.51 in group 1 and 1.4±0.51 in group 2 (p=0.38). Intubation times of the groups were 32.6±18 s and 27.06±11.37 s, respectively (p=0.4). The number of intubation attempts was 1.2±0.63 in group 1 and 1±0.01 in group 2 (p=0.31). The image quality of the camera by the intubator, intubation conditions, and intubation satisfaction was similar in the two groups. Conclusion: Comparing a 3D-printed videolaryngoscope with a conventional videolaryngoscope, no differences were observed in intubation times, number of intubation attempts, hemodynamic changes, and early postoperative complications. Intubation satisfaction values by the practitioner were found to be similar. It was concluded that the 3D-printed videolaryngoscope, which is cost-effective and easy to access, can be used instead of conventional videolaryngoscope in patients with a normal airway.

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“…Some deep learning algorithms can identify vital anatomical structures, such as blood vessels, faster and more accurately than human experts. Such capabilities can elevate the speed and precision of diagnoses ( 35 , 46 ). Furthermore, AI can aid physicians in diagnosing complex diseases based on a broader array of symptoms ( 41 , 44 ), such as arteriosclerosis and fractures.…”

Section: Bibliographic Analysis Of Emergency Department Ai Opportunit...mentioning

confidence: 99%

Designing Chinese hospital emergency departments to leverage artificial intelligence—a systematic literature review on the challenges and opportunities

Tan,

Mills

2024

Front. Med. Technol.

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Artificial intelligence (AI) has witnessed rapid advances in the healthcare domain in recent years, especially in the emergency field, where AI is likely to radically reshape medical service delivery. Although AI has substantial potential to enhance diagnostic accuracy and operational efficiency in hospitals, research on its applications in Emergency Department building design remains relatively scarce. Therefore, this study aims to investigate Emergency Department facility design by identifying the challenges and opportunities of using AI. Two systematic literature reviews are combined, one in AI and the other in sensors, to explore their potential application to support decision-making, resource optimisation and patient monitoring. These reviews have then informed a discussion on integrating AI sensors in contemporary Emergency Department designs for use in China to support the evidence base on resuscitation units, emergency operating rooms and Emergency Department Intensive Care Unit (ED-ICU) design. We hope to inform the strategic implementation of AI sensors and how they might transform Emergency Department design to support medical staff and enhance the patient experience.

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Educational suitability of new channel-type video-laryngoscope with AI-based glottis guidance system for novices wearing personal-protective-equipment

Cited by 4 publications

References 23 publications

Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

Conventional videolaryngoscope versus 3D printed videolaryngoscope

Designing Chinese hospital emergency departments to leverage artificial intelligence—a systematic literature review on the challenges and opportunities

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