Is Endoscope-Assisted Intubation a Useful Addition to Difficult Airway Management?

Farooq, Muhammad

doi:10.1213/01.ane.0000265667.39700.38

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…Therefore, a potential C and L grade III or IV glottic view should become a C and L grade I or II view with laparoscopic assistance. [11] This notion has been confirmed by our study. The intubation process involves two aspects, the first being the visualization of the glottis and the second comprising of the negotiation of the TT through the glottis.…”

Section: Discussionsupporting

confidence: 88%

Improvement in Cormack and Lehane grading with laparoscopic assistance during tracheal intubation

et al. 2011

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Background:To use laparoscope as an easily available and easy to use alternative option to videolaryngoscope.Aims:The aim of the study was to assess the improvement in the glottic view using a conventional direct laryngoscope (DL) assisted by a laparoscope with its endovision system along with the time taken for tracheal intubation.Settings and Design:A prospective, double blind, randomized, controlled study was conducted in a tertiary care centre.Methods:Sixty patients with American Society of Anesthesiologists (ASA) physical status I and II requiring general anaesthesia and tracheal intubation for elective surgery were included in the study. The patients were anaesthetized, paralysed, DL was performed and Cormack and Lehane grade (C and L) noted, followed by the introduction of the laparoscope alongside the flange of the Macintosh laryngoscope and a further C and L grading done as seen on monitor. Demographic data, ASA physical status, airway assessment, mouth opening, modified Mallampatti class, jaw protrusion, thyromental and sternomental distances, optimal external laryngeal manipulation, time taken for intubation, pulse oximetry, blood on; tracheal tube, lip, dentition or mucosal trauma, sore throat, hoarseness of voice, excessive secretions and regurgitation were recorded.Statistical Analysis:Statistical analysis was done using statistics package for social sciences software (17.0 version). A P-value less than 0.05 was considered statistically significant.Results:Eighty-three percent of the patients showed improvement in glottic view after laparoscopic assistance. Eighty-one and 85% of the patients with C and L grade II and III respectively on DL had an improved glottic view with this technique. The mean time to intubate was 37 seconds.Conclusions:Laparoscopic assistance provided a better glottic view than DL in most patients (83%). It has a potential advantage over standard DL in difficult intubation.

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Section: Discussionsupporting

confidence: 88%

Improvement in Cormack and Lehane grading with laparoscopic assistance during tracheal intubation

et al. 2011

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Feasibility and advantages of endoscope-assisted parotidectomy: a systematic review and meta-analysis

Zou

Gao

Liu

et al. 2021

British Journal of Oral and Maxillofacial Surgery

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Retrograde Intubation

Burbulys

Kiai²

2008

Emergency Medicine Clinics of North America

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Airway management in the emergency department is a critical skill that must be mastered by emergency physicians. When rapid-sequence induction with oral-tracheal intubation performed by way of direct laryngoscopy is difficult or impossible due to a variety of circumstances, an alternative method or device must be used for a rescue airway. Retrograde intubation requires little equipment and has few contraindications. This technique is easy to learn and has a high level of skill retention. Familiarity with this technique is a valuable addition to the airway-management armamentarium of emergency physicians caring for ill or injured patients. Variations of the technique have been described, and their use depends on the individual circumstances.

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Is Endoscope-Assisted Intubation a Useful Addition to Difficult Airway Management?

Cited by 4 publications

References 1 publication

Improvement in Cormack and Lehane grading with laparoscopic assistance during tracheal intubation

Improvement in Cormack and Lehane grading with laparoscopic assistance during tracheal intubation

Feasibility and advantages of endoscope-assisted parotidectomy: a systematic review and meta-analysis

Retrograde Intubation

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