Is video laryngoscopy easier than direct laryngoscopy for intubation in patients with contracture neck?

Gupta, R.; Sahni, Ameeta

doi:10.4103/sja.sja_808_19

Cited by 8 publications

(2 citation statements)

References 20 publications

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“…The primary result of our study, the significant improvement in ease of intubation with an average score of 1.4±0.5, is a testament to the effectiveness of our approach. This is consistent with previous findings that emphasise the need for straightforward intubation methods in patients with severe neck contractures after burn [14]. The low incidence of postoperative complications and the high rate of patient satisfaction further validate the efficacy and safety of our technique [15].…”

Section: Discussionsupporting

confidence: 90%

Facilitation of intubation and surgical management for advanced stage neck contractures following burns with a single incision technique

Calavul

2024

Med-Science

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Severe post-burn neck contractures pose significant challenges in airway management, complicating surgical interventions, and affecting patient outcomes. Traditional intubation techniques often fall short in these cases due to restricted neck mobility and altered anatomy. This retrospective study evaluates a novel single-incision technique for facilitating intubation in patients with advanced-stage neck contractures after burns. Conducted in the Plastic Surgery Clinic of Special Metrolife Hospital from January 1, 2020, to January 1, 2023, the study involved 25 pediatric patients and received ethical approval from Harran University Hospital. The technique consisted of sedation with propofol and ketamine, followed by a single incision to release neck contracture, allowing for easier intubation. The technique demonstrated a significant improvement in ease of intubation, with an average ease-of-intubation score of 1.4±0.5. Postoperative complications were minimal, with only two out of 25 patients experiencing minor issues. Furthermore, 92% of patients reported substantial functional and aesthetic improvements in the neck region. The single-incision technique presents a viable and safer alternative to conventional intubation methods for patients with severe post-burn neck contractures. Its simplicity and effectiveness make it particularly suitable for diverse healthcare settings, including those with limited resources. Future research should aim to validate these findings in larger, multicentre studies and explore the technique's applicability across different patient demographics.

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Section: Discussionsupporting

confidence: 90%

Facilitation of intubation and surgical management for advanced stage neck contractures following burns with a single incision technique

Calavul

2024

Med-Science

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“…As our patient was blind and old, we visited her and made good rapport with her preoperatively which helped us to do awake fiberoptic intubation. Other methods used in difficult airway scenario is video laryngoscopy which helps in visualization of laryngeal structure with limited neck movement and aid in intubation in patients with MO >3 cm and mild to moderate contracture neck [11] .…”

Section: Discussionmentioning

confidence: 99%

Successful fiberoptic intubation of difficult airway in an acid burn patient using 2% lignocaine spray as you go method and conscious sedation with dexmedetomidine: A case report

Jyoti¹,

Lisha²,

Mehta³

2021

Int. J. Med. Anesthesiology

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Management of difficult airways is widely recognized as one of the important tasks of an anesthesiologist. One of the commonly encountered difficult airway is of post-burns contractures leading to restriction of mouth opening and neck movements. Proper planning and skillful execution to secure airway is of utmost importance as failure may lead to cannot ventilate and cannot intubate situation. We present a case of successful fiberoptic oral intubation in 88yr old blind, hypertensive female patient with post acid burn contractures with difficult airway and narrow nasal passages using spray as you go technique and balanced conscious sedation.

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Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation

Lewis

Butler

Parker

et al. 2016

Cochrane Database of Systematic Reviews

248

250

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Videolaryngoscopes may reduce the number of failed intubations, particularly among patients presenting with a difficult airway. They improve the glottic view and may reduce laryngeal/airway trauma. Currently, no evidence indicates that use of a VLS reduces the number of intubation attempts or the incidence of hypoxia or respiratory complications, and no evidence indicates that use of a VLS affects time required for intubation.

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Is video laryngoscopy easier than direct laryngoscopy for intubation in patients with contracture neck?

Cited by 8 publications

References 20 publications

Facilitation of intubation and surgical management for advanced stage neck contractures following burns with a single incision technique

Facilitation of intubation and surgical management for advanced stage neck contractures following burns with a single incision technique

Successful fiberoptic intubation of difficult airway in an acid burn patient using 2% lignocaine spray as you go method and conscious sedation with dexmedetomidine: A case report

Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation

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