Teleguidance Technology for Endotracheal Intubation: A Scoping Review

Levin, Benjamin S.; Chang, Marvin G.; Bittner, Edward A.

doi:10.1097/cce.0000000000000582

Cited by 9 publications

(8 citation statements)

References 26 publications

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“…Adult studies demonstrate that technology is available to provide a remote clinician with a view of a videolaryngoscope screen during a two-way communication. Review of 12 simulation studies and five clinical studies on teleguidance-facilitated intubation found the practice feasible, safe and efficacious in adult practice 30. Two studies showed higher first attempt success rates and a faster time to intubation with telemedicine-supported intubation, compared with standard care.…”

Section: Methodsmentioning

confidence: 98%

Is telemedicine suitable for remotely supporting non-tertiary units in providing emergency care to unwell newborns?

Edwards

O’Shea

2023

Arch Dis Child

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Although the majority of term infants will breathe spontaneously at birth, the requirement for advanced resuscitation can be unpredictable, as can the precipitous delivery of an extremely preterm infant in a non-tertiary neonatal unit. Infants born in hospitals without a tertiary neonatal intensive care unit have a higher mortality which is a disparity that has been difficult to resolve.Telemedicine, the use of videoconferencing software to connect those at the scene of a resuscitation to a remote clinician, can allow for real-time two-way communication between a local unit and a tertiary neonatal specialist. It has been present for some time in neonatology to provide secure video messaging with families and its use in neonatal acute care and resuscitation has been growing in recent years.We sought to perform a review of the current evidence available on the use of telemedicine in neonatal resuscitation. Studies demonstrate improved quality of resuscitation, improved adherence to resuscitation guidelines and positive experiences reported by local and tertiary teams. Suitable technology needs to be available to establish a rapid and secure video connection, as does adequate availability of experienced neonatologists to provide remote guidance. Telemedicine is an exciting and emerging tool which is being developed as a standard of care in units which have piloted it.

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Section: Methodsmentioning

confidence: 98%

Is telemedicine suitable for remotely supporting non-tertiary units in providing emergency care to unwell newborns?

Edwards

O’Shea

2023

Arch Dis Child

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“…It also facilitates progressive autonomy for airway trainees. [ 35 ] However, clinical studies are necessary to fully understand the benefits and limitations of this technology.…”

Section: Newer Tools and Techniques For Airway Managementmentioning

confidence: 99%

Recent advances in airway management

Myatra

Dhawan

D'Souza

et al. 2023

Indian Journal of Anaesthesia

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Airway management is a core skill essential for anaesthesiologists and health care providers involved in resuscitation and acute care of patients. Advancements in airway management are continuously evolving. This narrative review highlights the recent advancements with respect to innovations, tools, techniques, guidelines, and research in both technical and non-technical aspects of airway management. These include nasal endoscopy, virtual endoscopy, airway ultrasound, video endoscopes, supraglottic airways with enhanced protection against aspiration, hybrid devices, and the use of artificial intelligence and telemedicine, the utility of which has increased in recent times, thereby improving success with airway management and enhancing patient safety. There has been an increasing emphasis on peri-intubation oxygenation strategies to reduce complications in patients with a physiologically difficult airway. Recent guidelines for difficult airway management and preventing unrecognised oesophageal intubation are available. Large multicentre airway data collection helps us examine airway incidents, aetiology, and complications to expand our knowledge and give us insights for change in practice.

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“…Lastly, hospital administrators are also considered part of the ART, and their role is to invest in resource allocation, training programs, and education of ART staff. Telemedicine may play an emerging role in managing ARTs in settings where expertise is not readily available [ 31 , 32 ].…”

Section: The Team Modelmentioning

confidence: 99%

Design and Implementation of Airway Response Teams to Improve the Practice of Emergency Airway Management

Tankard

Sharifpour

Chang

et al. 2022

JCM

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Emergency airway management (EAM) is a commonly performed procedure in the critical care setting. Despite clinical advances that help practitioners identify patients at risk for having a difficult airway, improved airway management tools, and algorithms that guide clinical decision-making, the practice of EAM is associated with significant morbidity and mortality. Evidence suggests that a dedicated airway response team (ART) can help mitigate the risks associated with EAM and provide a framework for airway management in acute settings. We review the risks and challenges related to EAM and describe strategies to improve patient care and outcomes via implementation of an ART.

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Teleguidance Technology for Endotracheal Intubation: A Scoping Review

Abstract: Supplemental Digital Content is available in the text.

Cited by 9 publications

References 26 publications

Is telemedicine suitable for remotely supporting non-tertiary units in providing emergency care to unwell newborns?

Is telemedicine suitable for remotely supporting non-tertiary units in providing emergency care to unwell newborns?

Recent advances in airway management

Design and Implementation of Airway Response Teams to Improve the Practice of Emergency Airway Management

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