Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Sheta, Saad A.; Abdelhalim, Ashraf Arafat; Elzoughari, Ismail; Alzahrani, Tariq; Al-Saeed, Abdulhamid

doi:10.15537/smj.2015.12.12432

Cited by 8 publications

(9 citation statements)

References 22 publications

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“…The incidence of trauma is lower with the malleable stylet or Parker Flex-It stylet when compared to the rigid stylet. 20 , 21 In addition, ETTs should be inserted with minimal force and the bending angle rechecked when resistance is encountered during inserting the ETT into the trachea. 20 , 22 Above all, clinicians should consider the risks and benefits of the real-time palpation method using a preloaded stylet rather than the routine use.…”

Section: Discussionmentioning

confidence: 99%

Discrimination ability of the endotracheal tube location using real-time palpation during intubation using an endotracheal tube with a preloaded stylet

Roh¹,

Chae²,

Lee³

et al. 2018

TCRM

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PurposePalpation during intubation could be used as an ancillary method of providing real-time information of the endotracheal tube (ETT) placement before manual ventilation. This study aimed to evaluate the ability to discriminate the ETT location using a modified real-time palpation method with a preloaded stylet during intubation.Patients and methodsThe examiner performing the real-time palpation method placed three fingers on the lateral sides of the trachea between the sternal notch and the thyroid cartilage to determine if endotracheal intubation was successful. Endotracheal intubation was confirmed by auscultation and quantitative carbon dioxide waveform using capnography.ResultsEighty-eight patients were enrolled in this study. The discrimination accuracy of the real-time palpation method was 98.9% (95% CI: 93.8–99.8) for identifying the location of ETT between the trachea and esophagus. There was one false negative, reported as esophageal intubation rather than tracheal intubation.ConclusionThe real-time palpation method during intubation using an ETT with a preloaded stylet is an instantly applicable technique with good discrimination ability. The addition of real-time information through this palpation method to the conventional intubation process, especially in patients with poor vocal cord visualization, would be useful to facilitate the process of safe and careful endotracheal intubation.

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Section: Discussionmentioning

confidence: 99%

Discrimination ability of the endotracheal tube location using real-time palpation during intubation using an endotracheal tube with a preloaded stylet

Roh¹,

Chae²,

Lee³

et al. 2018

TCRM

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“…15 Other cost-effective options include tubes and stylets that can be flexed dynamically during intubation. [42][43][44][45] Conduited devices with a channelled blade require not only 'a view of the larynx' but an 'optimal view of the larynx' because only this ensures that the tracheal tube is directed correctly through the guide channel towards the larynx. A partial or nonoptimal view will lead to the conduit reliably directing the tube away from the larynx.…”

Section: Rule 3: a Good Videolaryngoscopic View Of The Vocal Cords Domentioning

confidence: 99%

Seeing is believing: getting the best out of videolaryngoscopy

Kelly

Cook

2016

British Journal of Anaesthesia

104

101

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Complications secondary to airway management in anaesthesia are relatively rare but when they do occur, the causal and contributory factors are often attributed to human error related to inadequate training and poor judgement by the anaesthetist. 1 These complications continue to occur despite competencybased medical education curricula and detailed practice guidelines. One criticism of competency-based medical education is that it applies primarily to trainees and focuses too much on the Editorials | i13

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“…However, the PFS group did not present a shorter EAT than that of the GRS group. According to the study by Sheta et al [ 16 ], which investigated the difference in the GRS and PFS in patients with normal airways, PFS had no benefit in shortening the TIT in normal airways.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies comparing the PFS with the GRS or malleable stylet investigated each stylet in patients with normal airways [ 5 , 16 ]; however, no study has been conducted for difficult airways. Therefore, the purpose of this study was to compare the usefulness of the GRS and PFS during intubation with GVL in a simulated difficult airway, and the alternative hypothesis was that there would be difference in TIT between the two groups.…”

Section: Introductionmentioning

confidence: 99%

Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study

et al. 2022

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Background: The GlideScope® videolaryngoscope (GVL) is widely used in patients with difficult airways and provides a good glottic view. However, the acute angle of the blade can make insertion and advancement of an endotracheal tube (ETT) more difficult than direct laryngoscopy, and the use of a stylet is recommended. This randomized controlled trial compared Parker Flex-It™ stylet (PFS) with GlideRite® rigid stylet (GRS) to facilitate intubation with the GVL in simulated difficult intubations. Methods: Fifty-four patients were randomly allocated to undergo GVL intubation using either GRS (GRS group) or PFS (PFS group). The total intubation time (TIT), 100-mm visual analog scale (VAS) for ease of intubation, success rate at the first attempt, use of laryngeal manipulation, tube advancement rate by assistant, and complications were recorded. Results: There was no significant difference between the GRS and PFS groups regarding TIT (50.3 ± 12.0 s in the GRS group and 57.8 ± 18.8 s in the PFS group, P = 0.108). However, intubation was more difficult in the PFS group than in the GRS group according to VAS score (P = 0.011). Cases in which the ETT was advanced from the stylet by an assistant, were more frequent in the GRS group than in the PFS group (P = 0.002). The overall incidence of possible complications was not significantly different. Conclusions: In patients with a simulated difficult airway, there was no difference in TIT using either the PFS or GRS. However, endotracheal intubation with PFS is more difficult to perform than GRS.

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Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Cited by 8 publications

References 22 publications

Discrimination ability of the endotracheal tube location using real-time palpation during intubation using an endotracheal tube with a preloaded stylet

Discrimination ability of the endotracheal tube location using real-time palpation during intubation using an endotracheal tube with a preloaded stylet

Seeing is believing: getting the best out of videolaryngoscopy

Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study

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