Role of videolaryngoscope in the management of difficult airway in adults: A survey

Shruthi, A H; Dinakara, Deevish; Chandrika, Y R

doi:10.4103/ija.ija_211_20

Cited by 14 publications

(7 citation statements)

References 18 publications

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“…2 Video laryngoscopes have emerged as a promising difficult airway adjunct from last many years. 3,4,12 It improves the visualization of laryngeal structure and thus known to increases first attempt intubation rate. 6 Recently few authors have evaluated the efficacy of various VLs i.e.…”

Section: Discussionmentioning

confidence: 99%

A randomized comparison of the performance of Airtraq videolaryngoscope versus Macintosh laryngoscope in simulated rapid sequence induction of anaesthesia

Jain,

Chilkoti,

Gupta

et al. 2023

IJCA

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Application of cricoid pressure during rapid sequence induction (RSI) of anaesthesia leads to difficult airway. No channeled videolaryngoscope (VL) has been compared with the Macintosh laryngoscope for facilitating intubation in RSI. Thus, we compared Airtraq® VL with Macintosh laryngoscope for simulated RSI in patients scheduled for elective surgeries.Following approval from Institutional Ethics Committee-Human Research, this randomized study was conducted. Patients of either sex, aged 18-65yr, ASA grade I/II, scheduled for elective surgeries under GA were included. 'Group DL' underwent direct laryngoscopy (DL) using Macintosh laryngoscope and Group VL with Airtraq® videolaryngoscope. Time taken for intubation, Cormack-Lehane (CL) grade of laryngeal view, number of intubation attempts, and haemodynamic parameters were noted. Student t-test and chi square test were used for statistical analysis.A total of 140 patients with 70 in each group were included. The mean time taken for intubation was significantly higher in VL group (84.70 ± 28.05s) than DL group (23.90 ± 6.67s). The optimal laryngeal view (i.e. CL grade I or II) was significantly improved in VL group than DL group i.e. 97% vs 94%. In group DL, 99% (n=69) were intubated in first attempt; whereas 60% (n=42) in Group VL (p<0.001). Hemodynamics was better in group VL.Airtraq® VL is better than conventional Macintosh laryngoscope for endotracheal intubation during RSI in terms of optimal glottic view, ease of intubation and haemodynamics. On the contrary, the “time taken to intubation” and the first attempt intubation rate were higher with Airtraq® VL.

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Section: Discussionmentioning

confidence: 99%

A randomized comparison of the performance of Airtraq videolaryngoscope versus Macintosh laryngoscope in simulated rapid sequence induction of anaesthesia

Jain,

Chilkoti,

Gupta

et al. 2023

IJCA

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“…Standard videolaryngoscope is largely accessible in developed countries and regarded as the standard of care during tracheal intubation, however, developing countries are still struggling to acquire it for regular use reasons mainly related to cost issues [ 30 ]. Conventional laryngoscope has been modified for use of low cost teaching aids [ 14 ] and proposed for use at the time of health disasters [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Performance of custom made videolaryngoscope for endotracheal intubation: A systematic review

2022

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Introduction Videolaryngoscope is regarded as the standard of care for airway management in well-resourced setups however the technology is largely inaccessible and costly in middle and low-income countries. An improvised and cost-effective form of customized videolaryngoscope was proposed and studied for patient care in underprivileged areas however there were no distinct conclusions on its performances. Method The study follows PRISMA guidelines for systematic review and the protocol in International Prospective Register for Systematic Reviews. The primary aim was to assess the first attempt success of customized videolaryngoscope for endotracheal intubation. The secondary objective was to evaluate the number of attempts, laryngoscopic view in terms of Cormack Lehane score and Percentage of glottic opening, use of external laryngeal maneuver and stylet and, the airway injuries after the endotracheal intubation. Result Five studies were analyzed for risk of bias using the National Institute of Health Quality Assessment Tool for cross-sectional studies. Most of the studies had a poor to a fair level of evidence with only one study with a good level of evidence. Certainty of evidence was “very low” for all eligible studies when graded using the Grading of Recommendation, Assessment, Development and Evaluation approach for systematic review. Conclusions The certainty of the evidence regarding performance of custom-made videolaryngoscope compared to conventional laryngoscope was very low and the study was performed in small numbers with fair to the poor risk of bias. It was difficult to establish and do further analysis regarding whether the customized form of videolaryngoscope will improve the first attempt success rate for tracheal intubation, reduce the number of attempts, improve the laryngoscopic view, require fewer external aids and reduce the incidences of airway injury with the given low-grade evidence. Some properly conducted randomised clinical trials will be required to further analyze the outcome and make the strong recommendations.

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“…Electrocardiography (ECG), pulse oximetry, and noninvasive blood pressure (NIBP) monitors were also set up. Video laryngoscope and bougies[ 12 13 ] were on a cart that was ready to go. The patient was given an injection of glycopyrrolate 0.2 mg and fentanyl 150 mg intravenously to help with the pain.…”

Section: Discussionmentioning

confidence: 99%

A case report on anesthetic challenges in the post-Covid complication of active mucormycosis

Uppalapati

Ranjan

Singh

et al. 2022

Journal of Family Medicine and Primary Care

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Mucormycosis is a well-known yet complicated illness that seems benign but behaves malignantly. This article discusses the anesthesia challenges in providing care for a 49-year-old male who presented with post-Covid pneumonia and uncontrolled diabetes along with active mucormycosis and scheduled for functional endoscope sinus surgery (FESS) and debridement of necrotic tissue. We want to illustrate the importance of anticipated difficult airway, while highlighting the toxicity of intravenous amphotericin-B and its combination against anesthesia drugs.

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Role of videolaryngoscope in the management of difficult airway in adults: A survey

Cited by 14 publications

References 18 publications

A randomized comparison of the performance of Airtraq videolaryngoscope versus Macintosh laryngoscope in simulated rapid sequence induction of anaesthesia

A randomized comparison of the performance of Airtraq videolaryngoscope versus Macintosh laryngoscope in simulated rapid sequence induction of anaesthesia

Performance of custom made videolaryngoscope for endotracheal intubation: A systematic review

A case report on anesthetic challenges in the post-Covid complication of active mucormycosis

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