Intubation with the GlideScope® videolaryngoscope using the “gear stick technique”

Dupanovic, Mirsad; Diachun, Carol Ann B.; Isaacson, Sheldon A.; Layer, David A.

doi:10.1007/bf03021834

Cited by 19 publications

(14 citation statements)

References 4 publications

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“…Similar solutions have been proposed by users of other videolaryngoscopes. 1,33 The depth of anesthesia and degree of muscle relaxation can affect ease of laryngoscopy and tracheal intubation. We did not stipulate choice or dose of muscle relaxant given to any patient, and we did not formally assess neuromuscular blockade before laryngoscopy.…”

Section: Discussionmentioning

confidence: 99%

Case series: The McGrath® videolaryngoscope — an initial clinical evaluation

Shippey

Ray

McKeown

2007

Can J Anesth/J Can Anesth

127

100

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Purpose: To document tracheal intubation success rates and airway instrumentation times using the newly designed McGrath® videolaryngoscope. Methods:We prospectively recorded factors associated with difficult tracheal intubation, factors causing actual difficulty in tracheal intubation, as well as complications arising from use of the new McGrath® videolaryngoscope in a series of adult patients with normal preoperative airway examinations. All patients were undergoing scheduled or elective surgery. In the first 75 patients (phase I), experience with airway instrumentation was documented, while in the second 75 patients (phase II), the time required to obtain an optimal view of the larynx was recorded, as well as the time to complete tracheal intubation.Results: Ninety-eight percent of all tracheal intubations were successful using the McGrath® videolaryngoscope. Cormack and Lehane grade I views were obtained in 143 patients (95%) and grade II views were achieved in six (4%). In phase II, the median time required to obtain an adequate view was 6.3 sec [interquartile range 4.7-8.7 (range 2-26.3)], and to complete tracheal intubation was 24.7 sec [18.5-34.4 (11.4-286)]. Fortynine (65%) of the tracheal intubations were completed within 30 sec, and 72 (96%) were completed within one minute. No complications were encountered in any patient. Conclusions: The McGrath® videolaryngoscope is an effective aid to airway management in patients with normal airways, based upon intubation success rates and the ability to rapidly secure the airway. Its potential advantages of convenience and portability warrant further evaluation in comparison with other airway devices and in patients with difficult airways. de 6,3 sec [écart interquartile 4,7-8,7 (écart 2-26,3)], et de 24,7 sec avant intubation trachéale complète [18,5-34,4 (11,4-286) Méthode : Nous avons enregistré, de façon prospective, les facteurs associés à une intubation trachéale difficile, ceux causant une difficulté réelle de l'intubation trachéale ainsi que les complications dues à l'utilisation du nouveau vidéolaryngoscope McGrath® chez une série de patients adultes présentant une anatomie des voies aériennes normales avant l'opération. Tous les patients devaient subir une chirurgie élective. Nous avons documenté notre expérience de prise en charge des voies aériennes chez les 75 premiers patients (Phase I) et, chez les 75 autres patients (Phase II), nous avons mesuré le temps requis jusqu'à obtention d'une visualisation optimale du larynx ainsi que le temps jusqu'à l'intubation trachéale complète. Résultats

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Section: Discussionmentioning

confidence: 99%

Case series: The McGrath® videolaryngoscope — an initial clinical evaluation

Shippey

Ray

McKeown

2007

Can J Anesth/J Can Anesth

127

100

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“…To the Editor: We read with great interest the letter from Dupanovic et al 1 regarding the optimal shape of the endotracheal tube for endotracheal intubation with the GlideScope® video laryngoscope (GSVL) (Saturn Biomedical Systems, Burnaby, BC, Canada). As previously identified, a frequently encountered difficulty with the GSVL lies in passing the endotracheal tube, not necessarily in obtaining a good view of the glottis.…”

Section: Tracheal Intubation With the Glidessope® Videolaryngoscope mentioning

confidence: 99%

“…As previously identified, a frequently encountered difficulty with the GSVL lies in passing the endotracheal tube, not necessarily in obtaining a good view of the glottis. [1][2][3][4] In one series of 728 patients, the intubation failure rate of the GSVL was 3.7%, despite the ability to obtain a good or excellent view of the glottis in the majority of the cases. 2 In our practice, we have found that a J-shaped endotracheal tube, formed to follow the contour of the GlideScope, facilitates the most rapid intubation ( Figure).…”

Section: Tracheal Intubation With the Glidessope® Videolaryngoscope mentioning

confidence: 99%

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Tracheal intubation with the glidesSope® videolaryngoscope, using a “J” shaped endotracheal tube

Bader

Heitz

Audu

2006

Can J Anesth/J Can Anesth

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“…Because of this "blind" introduction of the ETT, the ETT, especially with a rigid stylet in place, has the potential to damage oropharyngeal structures. While there are various reported techniques for curvature (e.g., 60 vs 90°) of a styletted ETT and its insertion 3,4 it is unclear whether the acute 90° bend in the ETT contributed to the palatal perforation in this instance.…”

mentioning

confidence: 89%