Endotracheal intubation using a GlideScope video laryngoscope by emergency physicians: a multicentre analysis of 345 attempts in adult patients

Choi, Hyuk Joong; Kang, Hyunggoo; Lim, Tae Ho; Chung, Hyun Soo; Cho, J.; Oh, Yonghwan; Kim, Y. M.

doi:10.1136/emj.2009.073460

Cited by 38 publications

(28 citation statements)

References 9 publications

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“…This results in large variation of reported prehospital intubation success rates with conventional laryngoscopy that range from only 80% up to >95% 2 14 15. Therefore, to improve visualisation of the airway, and increase overall intubation success and subsequent patient safety, videolaryngoscopy in the prehospital setting has become an evolving field; however, most of the studies published are performed on manikins, simulating prehospital conditions 16 17.…”

Section: Discussionmentioning

confidence: 99%

The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study

Cavus

Callies

Doerges

et al. 2011

Emergency Medicine Journal

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Section: Discussionmentioning

confidence: 99%

The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study

Cavus

Callies

Doerges

et al. 2011

Emergency Medicine Journal

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“…Operators using the GVL were able to consistently obtain good CL views, suggesting that they were able to visualize the glottic opening, but were unable to successfully complete the intubation because they had difficulty maneuvering the tracheal tube to the glottic inlet [11]. Prior studies have demonstrated that using the GVL results in uniformly excellent views of the glottis, but this does not necessarily correlate with intubation success [2,12,13]. The steep curvature of the GVL blade allows easy visualization of the vocal cords, but this shape requires that the operator navigate the tube along this steep curvature up toward the glottic opening (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, its use has become increasingly common for emergency intubations [1][2][3][4][5]. Previous research has evaluated the performance of the GVL, comparing it to other intubation devices, including the direct laryngoscope (DL) [2,3,6,7].…”

Section: Introductionmentioning

confidence: 99%

Improvement in GlideScope® Video Laryngoscopy performance over a seven-year period in an academic emergency department

et al. 2014

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To evaluate the outcomes in first pass success (FPS) of GlideScope (GVL) intubations over a seven-year period in an academic ED. Data were prospectively collected on all patients intubated in an academic ED with a level 1 trauma center over the seven-year period from July 1, 2007 to June 30, 2014. Following each intubation, the operator completed a standardized data collection form that included information on patient, operator and procedure characteristics. The primary outcome was first pass success, defined as successful intubation with a single laryngoscope blade insertion. The secondary outcome was the Cormack-Lehane (CL) view of the airway. To adjust for important confounders, a logistic regression model was used to determine the association between academic year and first pass success. In the first year of the study, the first pass success with the GVL was 75.6% (68/90; 95% CI 65.4-84.0%) and the percentage of patients with CL I/II views was 95.6% (86/90; 95% CI 89.0-98.8%). By the seventh year of the study, the first pass success with the GVL increased to 92.1% (128/139; 95% CI 86.3-96.0%) and the percentage of patients with CL I/II views was 94.2% (131/139; 95% CI 89.0-97.5%). In the logistic regression model, first pass success improved during the seven-year period (aOR 3.1; 95% CI 1.3-7.1; p = 0.008). Over the seven-year period, there was significant improvement in the first pass success of the GVL, without any change in the Cormack-Lehane view, suggesting that there was improvement in the skill of tube delivery with use of the GVL over time.

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“…The risks compound further when inexperienced providers are responsible for securing the airway under such challenging conditions. Consequently, there is an increased rate of complications during urgent endotracheal intubation compared with intubations in the operating room 10,11 . Airway management in the emergency department is therefore a major challenge because of both challenging patient conditions and variability in the provider's airway management skills.…”

Section: Challenges In the Use Of Video Laryngoscopementioning

confidence: 99%

“…The Accreditation Council for Graduate Medical Education (ACGME) states that critical care trainees "must demonstrate competence in procedural and technical skills in airway management and endotracheal intubation" 19 . Such skills in urgent endotracheal intubation are typically gained in the ICU, where almost all intubations are high-risk events due to the urgency in securing the airway 3,10 . Consequently, there is an increased rate of complications associated with tracheal intubations in the ICU setting compared with intubations in the operating room 4 .…”

Section: Intubation In Intensive Care Unitmentioning

confidence: 99%

Challenges in the Use of Video Laryngoscopes

Maldini

Hodzovic

Goranović

et al. 2016

ACC

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SUMMARY -Despite the lack of uniformity and the need of further investigation, video laryngoscopy continues to gain popularity both inside and outside the operating room. It has quickly become a first line strategy for potential and/or encountered difficult intubation. It is well established that video laryngoscope improves laryngeal view as compared with direct laryngoscopy in patients with suspected difficult intubation and simulated difficult airway scenarios. For novices and experienced anesthesiologists alike, video laryngoscopy is easy to use and the skills involved are easy to master. However, it is important to say that video laryngoscopes may be used in a variety of clinical scenarios and settings because of the video laryngoscope design offering an alternative intubation technique in both anaesthetized and awake patients. The aim of this article is to show and highlight clinical situations in which the use of video laryngoscope is a challenge for an experienced anesthesiologist in solving the airway. Challenges in the use of video laryngoscope with which we deal and encounter in everyday clinical practice that are discussed in this paper are intubation in the prehospital setting and emergency departments, intubation in Intensive Care Unit, intubation in a patient with cervical spine immobilization, and awake video laryngoscopy-assisted tracheal intubation in the obese. We also point out the important role of video laryngoscope as a tool for teaching and training in airway education. Training and education in difficult airway management is essential to improve patient safety at endotracheal intubation in emergency situation.

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Endotracheal intubation using a GlideScope video laryngoscope by emergency physicians: a multicentre analysis of 345 attempts in adult patients

Abstract: The GVL was not used frequently by EPs during the initial two years after its introduction. Although the GVL provides a better glottic view, the overall success rates were similar to a CL. The GVL may be useful in patients with difficult airway.

Cited by 38 publications

References 9 publications

The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study

The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study

Improvement in GlideScope® Video Laryngoscopy performance over a seven-year period in an academic emergency department

Challenges in the Use of Video Laryngoscopes

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