Frova introducer: neither a stylet nor simply an introducer

Sorbello, Massimiliano; Frova, G

doi:10.1111/j.1365-2044.2008.05661_1.x

Cited by 26 publications

(16 citation statements)

References 4 publications

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“…Proper technique of use is critical to minimize the risk of airway trauma. [5] We think that, despite high-tech (and more expensive) gadgets growing popularity and diffusion, the "old" Frova intubating introducer, being handsized and easy to carry, simple to use and cheap airway device, might be a useful tool for prehospital airway management.…”

Section: To the Editormentioning

confidence: 99%

Prehospital difficult airway management: old things still work

et al. 2014

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Section: To the Editormentioning

confidence: 99%

Prehospital difficult airway management: old things still work

et al. 2014

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“…Not only we should also consider the point for costs, as, to date, no device is cheaper than Macintosh, and we should ask ourselves if it could really be worth effort to use lot of resources to handle situations that are not so common and which could be handled with alternative devices such as introducers 17 . Video laryngoscopes have been extensively researched and many papers have been produced; the point is that many studies were performed on manikins, or in conditions of simulated difficulty.…”

Section: Seeing Is Not Survivingmentioning

confidence: 99%

Airway Visualization: Eyes See What Mind Knows

Sorbello

Frova

Zdravković

2016

ACC

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SUMMARY -Airway management is basic for anesthesia practice, and sometimes it can represent a really dramatic scenario for both the patient and the physicians. Laryngoscopy has been the gold standard of airway visualization for more than 60 years, showing its limitations and failure rates with time. New technology has made available an opportunity to move the physician's eye inside patient airways thanks to video laryngoscopy and video assisted airway management technique. Undoubtedly, we have entered a new era of high resolution airway visualization and different approach in airway instrumentation. Nevertheless, each new technology needs time to be tested and considered reliable, and pitfalls and limitations may come out with careful and long lasting analysis, so it is probably not the right time yet to promote video assisted approach as a new gold standard for airway visualization, despite the fact that it certainly offers some new prospects. In any case, whatever the visualization approach, no patient dies because of missed airway visualization or failed intubation, but due to failed ventilation, which remains without doubt the gold standard of any patient safety goal and airway management technique. Airway management remains one of the main tasks for anesthesiologists and failure in airway control remains one of the most important sources of perioperative morbidity and mortality in anesthesia 1 . For this reason, many different strategies, devices and techniques have been developed in the last years to face this reality and to improve periprocedural safety.Ventilation and oxygenation remain the main targets in terms of patient safety, whereas laryngoscopy is probably the key point, if not even the starting point of any airway management strategy 2 . We know that many factors, including patient condition and anatomy, operator experience, and device availability and setting 3 may make laryngoscopy very difficult if not impossible, underlining how the conventional Macintosh approach ('standard laryngoscopy' or 'direct laryngoscopy'), which remains the most popular approach for airway visualization, might show important limitations. Everything in LineSeveral years ago, Cooper wrote an amazing editorial on the future of laryngoscopy 4 , reminding us that what makes man different from other species is disalignment of airway and esophagus, which on the one hand allows us social behavior during meals, but on the other hand generates a real challenge for airway management.Basic for conventional laryngoscopy, and consequently for intubation, is achieving the so called 'line of sight', between the physician's eye and the larynx. For this purpose, any anesthesiologist, even if still inexperienced, knows that intubation maneuver starts with patient's head positioning so to achieve alignment between the operator's eye and oral, pharyngeal

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“…La zone verte indique une profondeur d'insertion sûre (< 21 cm), jaune indique un contact possible avec la carène et la couleur rouge signale un risque élevé Construit en polyéthylène, le guide « Frova » possède un certain effet mémoire. Il a été conçu avec une rigidité suffisante pour transformer une force directe appliquée à son extrémité proximale en un mouvement antérieur et vers le haut de sa pointe, résultant en un déplacement antérosupérieur, en direction de l'ouverture trachéale, en cas de contact avec les cartilages aryténoïdes [23].…”

Section: Les Guides Longs Type Eschmannunclassified

Comment préférez-vous votre guide ou mandrin pour intuber ? Long ou court, plein ou creux, dur ou mou, droit ou béquillé ?

Schoettker

Grape

2016

Le Praticien en Anesthésie Réanimation

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But.-Les guides et mandrins sont des dispositifs régulièrement utilisés pour la gestion des voies aériennes difficiles dans différents scénarios. Leur utilisation en première intention est proposée par un grand nombre d'algorithmes. Leur forme et techniques d'utilisation évoluent régulièrement. Notre but est de fournir au clinicien une mise à jour concernant les caractéristiques, indications, techniques d'utilisation et les dangers des différents guides et mandrins utilisés comme aides à l'intubation. Méthode.-Nous avons effectué une recherche systématique de la littérature jusqu'en mai 2015, sans restrictions de langue. Les deux auteurs ont retiré, de façon indépendante, toutes les études, rapports de cas et séries avec les mots clés « bougie », « gum elastic bougie », « stylet », « airway management », « tracheal tube introducer », « intubation aid », « extubation catheter », « bougie élastique », « mandrin », « stylet d'intubation », « management des voies aériennes », « introducteur », « aide à l'intubation » et « mandrin d'extubation ». Résultats.-Nous avons trouvé principalement des études observationnelles et rétrospectives avec au total un petit nombre de sujets. Ces données ont été synthétisées dans une revue narrative. Conclusion.-À ce jour, de nombreux guides et mandrins existent pour assister à la gestion de la voie aérienne difficile. Chacun d'entre eux possède des indications différentes, avec une

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Frova introducer: neither a stylet nor simply an introducer

Cited by 26 publications

References 4 publications

Prehospital difficult airway management: old things still work

Prehospital difficult airway management: old things still work

Airway Visualization: Eyes See What Mind Knows

Comment préférez-vous votre guide ou mandrin pour intuber ? Long ou court, plein ou creux, dur ou mou, droit ou béquillé ?

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