Feasibility of an endotracheal tube‐mounted camera for percutaneous dilatational tracheostomy

Abstract

Percutaneous dilatational tracheostomy with optical guidance from a tube-mounted camera is feasible. Further studies comparing the camera tube with bronchoscopy as the standard approach should be performed.

Endotracheal tube-mounted camera-assisted intubation versus conventional intubation in intensive care: a prospective, randomised trial (VivaITN)

“…Thus far, the VST has shown promising results for endotracheal intubation via supraglottic airway devices [ 11 , 17 ], in mannikins [ 18 – 22 ] and in a cadaver study [ 23 ]. Furthermore, the guidance of percutaneous dilatational tracheostomy by VST has been evaluated and shown to be feasible [ 24 , 25 ].…”

Bronchoscopy versus an endotracheal tube mounted camera for the peri-interventional visualization of percutaneous dilatational tracheostomy - a prospective, randomized trial (VivaPDT)

“…During PDT, visualization of the trachea and quality of ventilation were rated according to a score previously used by our study group ( see Table 1 ) [ 12 ]. The score was based on a modification of the scoring of Linstedt et al [ 15 ].…”

“…The camera is laminated into the anterior wall of the tube and equipped with a rinsing channel. As we have shown before, PDT with this tube is a feasible alternative to bronchoscopic guidance and might improve patients’ gas exchange, airway pressures, and ventilation compared with PDT with bronchoscopic guidance [ 12 ]. Because one of the main goals of visual guidance is to identify the correct point of puncture and the posterior wall of the trachea, we assessed visualization during PDT via the VST as well as changes in patients’ gas exchange and pH values against bronchoscopy in a prospective, randomized, noninferiority study.…”

Successful one-lung ventilation using the VivaSight-EB bronchial blocker tube for an emergency lung injury. A simulation pilot data

“…However, as numerous studies show, medical simulation allows for full standardization of performed medical procedures and multiple possibilities to perform them without exposing patients to injuries resulting from performed procedures [22][23][24]. Another limitation of the study is the fact that only paramedics are included in the study, however, as indicated in the title itself, this is a pilot study and currently there are ongoing activities aimed at extending the target group to physicians, including anaesthesiologists, as well as increasing the study group and adding other research scenarios, including simulating airway bleeding in order to confirm the effectiveness of the camera lens flushing system used in ETView [25,26].…”

“…The effectiveness of the first attempt to protect the bronchi with a bronchial blocker was 26% for both scenarios and the total effectiveness of bronchial protection was 100% in both cases. Time T1 for endotracheal intubation was 18sec for Scenario A (IQR; and 20 sec for Scenario B (IQR;[17][18][19][20][21][22][23][24][25]. The time to perform one-lung ventilation (Time T2) in scenarios A and B was 43 sec (IQR; 38-62.5) vs. 43.5 sec (38-65).…”