Evaluation of the GlideScope<sup>®</sup> for tracheal intubation in patients with cervical spine immobilisation by a semi‐rigid collar

Bathory, Istvan; Frascarolo, Philippe; Kern, Christian; Schoettker, Patrick

doi:10.1111/j.1365-2044.2009.06075.x

Cited by 64 publications

(54 citation statements)

References 28 publications

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“…We needed maneuvers in 15% of patients in the ILMA group. Our study and other studies demonstrated that GlideScope needed 21% maneuver application in difficult airways (11,26).…”

Section: Discussionsupporting

confidence: 70%

“…A study reported longer insertion and intubation times than our findings with ILMA under MAILS and collar immobilization (17,21). However, previously immobilized patients were intubated for similar durations as we did in our study by GlideScope (11,15).…”

Section: Discussionsupporting

confidence: 63%

“…GlideScope was shown to increase the first intubation success rate in cervical collar-immobilized patients (11). However, we are not aware of any comparative studies between ILMA and GlideScope in collar-immobilized patients.…”

Section: Discussionmentioning

confidence: 87%

“…In contrast, the GlideScope is an indirect video laryngoscope with a 60° curved blade that reduces the number of intubation attempts and decreases the intubation time in prehospital settings and in cervical collar-immobilized patients (10,11).…”

Section: Introductionmentioning

confidence: 99%

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Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Özdil¹,

Aydın²,

Baykara³

et al. 2016

Turk J Med Sci

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Background/aim: Intubation must be rapidly performed with the utmost care in cervical trauma patients. We present the first comparison of GlideScope and an intubating laryngeal mask airway (ILMA) regarding insertion and intubation times, intubation success rates, mucosal damage, need for optimization maneuvers, effects on hemodynamic changes, and postoperative minor complications in a simulated cervical injury with a Philadelphia cervical collar. Materials and methods:Ethics committee approval and patient consent were obtained and 94 American Society of Anesthesiology physical status I or II patients were enrolled in this study. Following standard anesthesia monitoring and induction, the Philadelphiatype cervical collar was applied and patients were subsequently intubated with ILMA or GlideScope. Results:The total intubation success rates were similar between the groups (96%). The insertion (14.9 ± 10 s vs. 21.9 ± 6.5 s, respectively; P < 0.001) and intubation (43.5 ± 13 s vs. 48.4 ± 11 s; P = 0.02) times for ILMA were longer than for GlideScope. The total intubation times for ILMA were longer than the intubation time for GlideScope (43.5 ± 13 s vs. 85.6 ± 13 s; P < 0.001). The mucosal damage was higher in the ILMA group (P = 0.04). The two airway devices increased the heart rate and mean arterial pressure after insertion compared with the postinduction values within groups. Conclusion:GlideScope is superior to ILMA in terms of lower insertion and intubation times and lower levels of mucosal damage in cervical collar-immobilized patients.

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“…We needed maneuvers in 15% of patients in the ILMA group. Our study and other studies demonstrated that GlideScope needed 21% maneuver application in difficult airways (11,26).…”

Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Özdil¹,

Aydın²,

Baykara³

et al. 2016

Turk J Med Sci

View full text Add to dashboard Cite

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“…They are useful devices for understanding the airway anatomy and tracheal intubation procedure. Moreover, their superiority to the Macintosh laryngoscopy in tongue oedema and cervical trauma victims has been validated (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Intubation of a Paediatric Manikin in Tongue Oedema and Face-to-Face Simulations by Novice Personnel: a Comparison of Glidescope, Airtraq and Direct Laryngoscopy

Arslan¹,

Turna²,

Gümüş³

et al. 2016

Turk J Anaesth Reanim

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Amaç: Glidescope ve Airtraq entübasyonu kolaylaştırmak ve havayolu anatomisini öğretmek için geliştirilmişlerdir. Biz, bu havayolu araçlarının deneyimsiz personelce kullanımlarındaki etkinliklerini normal havayolu, dil ödemi ve yüz yüze entübasyon modellerinde değerlendirmeyi amaçladık.Yöntemler: Lokal İnsan Araştırmaları Etik Kurulu onayı alın-dıktan sonra tıp fakültesi 3. sınıf başlangıcında olan 36 öğrenci çalışmaya dahil edildi. Glidescope ve Airtraq ile pediyatrik maket üzerinde üç havayolu modelinde (sırasıyla); normal havayolu, dil ödemi ve yüz yüze entübasyon yapmışlardır. Bulgular:Yerleştirme ve entübasyon süreleri gruplar arasında benzer olmasına rağmen, Glidescope'un entübasyon başarı oranı normal havayolunda (%100 ve %67) ve dil ödeminde (%89 ve 50%) ile Airtraq'den fazladır (p=0,008 ve p=0,009). Maket üzerinde yüz yüze entübasyon başarı oranı gruplar arasında benzerdi (%50) (p=0,7). Manevra gereksinimi Glidescope grubunda normal ve dil ödemi modellerinde daha azdı (p=0,02 ve 0,002). Ek olarak, Glidescope ile özofagus entübasyonu normal ve dil ödeminde azdı (p=0,03 ve p<0,001).Sonuç: Deneyimsiz personel Glidescope ile Airtraq'e kıyasla trakeayı daha kolay entübe etmişlerdir. Glidescope ile entübasyon, normal ve dil ödemi modellerinde Airtraq'ten üstündür. Yüz yüze entübasyon başarı oranları hem Glidescope hem de Airtraq grubunda düşük bulunmuştur. Anahtar kelimeler: Laringoskoplar, havayolu yönetimi, entübas-yonObjective: Glidescope and Airtraq were designed for facilitating intubation and for teaching regarding the airway anatomy. We aimed to evaluate their efficacy in normal airway, tongue oedema and face-toface orotracheal intubation models when used by novice personnel. Methods:After the local human research ethics committee approval, 36 medical students who were in the beginning of their third year were enrolled in this study. After watching a video regarding intubation using one of these devices, the students intubated a paediatric manikin with a Glidescope or Airtraq via the normal airway, tongue oedema and face-to-face approach. Results:Although the insertion and intubation times were similar among the groups, the intubation success rate of the Glidescope was higher in the normal airway (100% vs 67%) and tongue oedema (89% vs. 50%) compared with the Airtraq (p=0.008 and p=0.009). The success rates with the paediatric manikin by the face-to-face approach were similar among the groups (50%) (p=0.7). The need for manoeuvres in the Glidescope was lower in the normal and tongue oedema models (p=0.02 and p=0.002). In addition, oesophageal intubation was low in the control and tongue oedema models with the Glidescope (p=0.03 and p<0.001). Conclusion:Novice personnel could more easily intubate the trachea with the Glidescope than with the Airtraq. Intubation with the Glidescope was superior to that with the Airtraq in the normal and tongue oedema models. The face-to-face intubation success rates were both low with both the Glidescope and Airtraq groups. Keywords: Laryngoscopes, airway management, int...

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Airway Management in Trauma

Capan

Miller

2014

Anesthesia for Trauma

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Evaluation of the GlideScope^® for tracheal intubation in patients with cervical spine immobilisation by a semi‐rigid collar

Cited by 64 publications

References 28 publications

Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Intubation of a Paediatric Manikin in Tongue Oedema and Face-to-Face Simulations by Novice Personnel: a Comparison of Glidescope, Airtraq and Direct Laryngoscopy

Airway Management in Trauma

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Evaluation of the GlideScope® for tracheal intubation in patients with cervical spine immobilisation by a semi‐rigid collar

Cited by 64 publications

References 28 publications

Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

Intubation of a Paediatric Manikin in Tongue Oedema and Face-to-Face Simulations by Novice Personnel: a Comparison of Glidescope, Airtraq and Direct Laryngoscopy

Airway Management in Trauma

Contact Info

Product

Resources

About

Evaluation of the GlideScope^® for tracheal intubation in patients with cervical spine immobilisation by a semi‐rigid collar