Patient‐inserted awake Airtraq<sup>®</sup>‐assisted intubation

Aldridge, Frank

doi:10.1111/j.1365-2044.2012.07214.x

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Most studies have described a significantly better glottic view and a higher success rate in difficult tracheal intubations for the indirect laryngoscopes. Some case reports also describe the successful use of these tools under sedation with preserved spontaneous breathing [8][9][10][11][12][13]. However, the standard -and up to now, probably safest -technique for the management of an anticipated difficult intubation is with a bronchoscope under local anaesthesia and mild sedation [14,15].…”

Section: Introductionmentioning

confidence: 99%

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

et al. 2015

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SummaryNumerous indirect laryngoscopes have been introduced into clinical practice and their use for tracheal intubation under local anaesthesia has been described. However, a study comparing indirect laryngoscopic vs fibreoptic intubation under local anaesthesia and sedation appears lacking. Therefore, we evaluated both techniques in 100 patients with an anticipated difficult nasal intubation time for intubation the primary outcome. We also assessed success rate, glottic view, Ramsey score, and patients' and anaesthetists' satisfaction. The median (IQR [range]) time for intubation was significantly shorter with the videolaryngoscope with 38 (24-65 [11-420]) s vs 94 (48-323 [19-1020]) s (p < 0.0001). There was no difference in the success rate of intubation (96% for both techniques; p > 0.9999) and satisfaction of the anaesthetists and patients. We conclude that in anticipated difficult nasal intubation a videolaryngoscope represents an acceptable alternative to fibreoptic intubation.

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Section: Introductionmentioning

confidence: 99%

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

et al. 2015

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“…There are some case reports [6][7][8][9][10] but only few randomized studies [11][12][13][14][15][16][17] comparing the standard of fiberoptic intubation to alternative devices for airway management in patients with an anticipated difficult airway. Recently two meta-analysis summarized this few studies.…”

Section: Discussionmentioning

confidence: 99%

“…Comparison of Airtraq ® Laryngoscope, Bonfils Endoscope and Fiberoptic Bronchoscope for Awake Tracheal Intubation: A Randomized, Controlled Trial awake tracheal intubations [6][7][8][9][10]. However, randomized clinical studies comparing the effectiveness of indirect laryngoscopy to the standard of fiberoptic intubation under spontaneous breathing are still rare [11][12][13][14][15][16][17].…”

Section: Research Articlementioning

confidence: 99%

Comparison of Airtraq® Laryngoscope, Bonfils Endoscope and Fiberoptic Bronchoscope for Awake Tracheal Intubation: A Randomized, Controlled Trial

Köhne¹,

Elfers-Wassenhofen²,

Nosch³

et al. 2021

austinjanesthesiaandanalgesia

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Over the last decades several indirect laryngoscopes have been developed to provide a significant better glottic view and improved the success rate in difficult intubations. Some case reports describe the use of indirect laryngoscopes for awake tracheal intubations under preserved spontaneous breathing. However, randomized clinical studies comparing indirect laryngoscopy to the standard of fiberoptic intubation under spontaneous breathing are rare. Therefore, we compared the intubation with the Airtraq® laryngoscope and the Bonfils endoscope, to the standard fiberoptic intubation in patients with an expected difficult intubation under local anesthesia and sedation. 150 patients with an expected difficult intubation were randomized to one of the three devices. All intubation attempts were performed under local anesthesia and sedation. We evaluated success rate, time for intubation and the satisfaction of anesthesiologists and patients. Fiberoptic intubation was significantly more successful (100%) than intubation with an Airtraq® laryngoscope (88%) or the Bonfils endoscope (88%). Time for intubation was quickest with the Airtraq® laryngoscope and significantly shorter than fiberoptic intubation (p=0.044). There was no difference in satisfaction of the anesthesiologists and none of the patients had a negative recall to one of the techniques. An expected difficult intubation can be managed using the Airtraq® laryngoscope or the Bonfils endoscope in 88% and shows the same satisfaction of anesthesiologists and patient. We conclude that these techniques represent an acceptable alternative for an awake tracheal intubation under sedation and preserved spontaneous breathing.

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“…Local anaesthesia of the upper airway was performed with a combination of topical airway anaesthesia, superior laryngeal nerve blockade and a tracheal block. Bilateral superior laryngeal nerve block was by anatomical landmarks and 2 ml lidocaine 1% on each side [14]. Tracheal block was performed with the administration of 3–4 ml lidocaine 1% through the cricothyroid membrane.…”

Section: Methodsmentioning

confidence: 99%

Flexible nasal bronchoscopy vs. Airtraq^® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study

Kamga,

Frugier,

Boutros

et al. 2023

Anaesthesia

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Videolaryngoscopy is a suitable alternative to flexible bronchoscopy to facilitate awake tracheal intubation. The relative effectiveness of these techniques in clinical practice is unknown. We compared flexible nasal bronchoscopy with Airtraq â videolaryngoscopy in patients with an anticipated difficult airway scheduled for awake tracheal intubation. Patients were allocated randomly to flexible nasal bronchoscopy or videolaryngoscopy. All procedures were performed with upper airway regional anaesthesia blockade and a target-controlled intravenous infusion of remifentanil. The success rate with the allocated technique was the primary outcome. A non-inferiority analysis with a predefined limit of 8% was planned. Seventy-eight patients were recruited, allocated randomly and analysed. The rate of successful intubation was 97% and 82% in the flexible bronchoscopy and videolaryngoscopy groups, respectively, p = 0.032. The median (IQR [range]) time to tracheal intubation was shorter with the Airtraq, 163 (105-332 [40-1004]) vs. 217 (180-364 [120-780]) s, p = 0.030. There were no significant differences for complications found between the groups. The median visual analogue scale for ease of intubation was 8 (7-9 [0-10]) for Airtraq vs. 8 (7-9 [0-10]) for flexible bronchoscopy, p = 0.710. The median visual analogue scale for patient comfort for Airtraq was 8 (6-9 [2-10]) vs. 8 (7-9 [3-10]) for flexible bronchoscopy, p = 0.370. The Airtraq videolaryngoscope is not non-inferior to flexible bronchoscopy for awake tracheal intubation in a clinical setting when awake tracheal intubation is indicted. It may be a suitable alternative when judged on a case-by-case basis.

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Patient‐inserted awake Airtraq^®‐assisted intubation

Cited by 4 publications

References 3 publications

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Comparison of Airtraq® Laryngoscope, Bonfils Endoscope and Fiberoptic Bronchoscope for Awake Tracheal Intubation: A Randomized, Controlled Trial

Flexible nasal bronchoscopy vs. Airtraq^® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study

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Patient‐inserted awake Airtraq®‐assisted intubation

Cited by 4 publications

References 3 publications

Fibreoptic vs videolaryngoscopic (C-MAC®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC®D-BLADE) nasal awake intubation under local anaesthesia

Comparison of Airtraq® Laryngoscope, Bonfils Endoscope and Fiberoptic Bronchoscope for Awake Tracheal Intubation: A Randomized, Controlled Trial

Flexible nasal bronchoscopy vs. Airtraq® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study

Contact Info

Product

Resources

About

Patient‐inserted awake Airtraq^®‐assisted intubation

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Flexible nasal bronchoscopy vs. Airtraq^® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study