The Clarus Video System (Trachway) intubating stylet for awake intubation

Cheng, Wei-Chun; Lan, Cing-Hong; Lai, Hsien-Yong

doi:10.1111/j.1365-2044.2011.06948.x

Cited by 19 publications

(14 citation statements)

References 10 publications

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“…It can also be used for double lumen [8], nasal [9], and awake [10] intubations for particularly difficult airways. The aim of this study was to compare tracheal intubation with the TVI stylet with that using the conventional Macintosh laryngoscope by practitioners who are experienced in using a direct laryngoscope but novices to the stylet.…”

Section: Introductionmentioning

confidence: 99%

Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study

Ong

Lin

Huang

et al. 2016

Tzu Chi Medical Journal

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Objectives:It remains to be determined whether the TVI-4000 Trachway video intubating (TVI) stylet (Markstein Sichtec Medical Corp, Taichung, Taiwan), an airway device for novices, improves airway management practice by experienced anesthesiologists. The aim of this study was to evaluate the feasibility of using the TVI stylet in difficult tracheal intubation situations compared with that of using the Macintosh laryngoscope on an airway manikin.Materials and Methods:Ten anesthesiologists (with 3–21 years’ experience), including three senior residents, participated. We compared tracheal intubation in four airway scenarios: normal airway, tongue edema, cervical spine immobilization, and tongue edema combined with cervical spine immobilization. The time of tracheal intubation (TTI), success rate, and perceived difficulty of intubation for each scenario were compared and analyzed.Results:The TTI was significantly shorter in both the tongue edema and combined scenarios with the TVI stylet compared with the Macintosh laryngoscope (21.60 ± 1.45 seconds vs. 24.07 ± 1.58 seconds and 23.73 ± 2.05 seconds vs. 26.6 ± 2.77 seconds, respectively). Success rates for both devices were 100%. Concomitantly, participants rated using the TVI stylet in these two scenarios as being less difficult.Conclusion:The learning time for tracheal intubation using the TVI stylet in difficult airway scenarios was short. Use of the TVI stylet was easier and required a shorter TTI for tracheal intubation in the tongue edema and combined scenarios.

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Section: Introductionmentioning

confidence: 99%

Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study

Ong

Lin

Huang

et al. 2016

Tzu Chi Medical Journal

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show abstract

“…Many airway management techniques such as awake intubation can be applied in these cases. The Clarus Video System (CVS; Clarus Medical, Minneapolis, MN, USA), a rigid fiberscope with an intubating stylet has been used for difficult intubation cases [2,3]. Herein, we report our experience with a successful awake double lumen endotracheal tube (DLT; Silbroncho, Fuji Systems Corporation, Tokyo, Japan) intubation using CVS in a patient with a large epiglottic cyst who required isolation of the lungs for a combined pylorus-preserving pancreaticoduodenectomy (PPPD) and thoracic surgery.…”

mentioning

confidence: 99%

An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report

Seo

Lee

et al. 2014

Korean J Anesthesiol

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A 54-year-old male patient was scheduled for an elective pylorus-preserving pancreaticoduodenectomy combined with video-assisted thoracic surgery at our hospital. This patient had a history of intubation failure in other institutions due to an epiglottic cyst. An airway assessment of the patient was normal. A preoperative laryngoscopy revealed a bulging epiglottic mass covering most of the epiglottis and occupying most of the pharyngeal space. The patient was administered intravenous midazolam 1 mg, fentanyl 50 µg, and glycopyrrolate 0.2 mg. A bilateral superior laryngeal nerve block was then performed with 2% lidocaine 2 ml on each side. A 10% lidocaine spray was applied on to the oropharynx. After preoxygenation with 100% oxygen over 10 minutes, a rigid fiberscope with an optical stylet loaded with a 37 Fr double lumen endotracheal tube was inserted orally and passed into the glottic aperture. The patient was fully awakened after surgical procedure and was transferred to the recovery room after extubation.

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“…The distal portion of the CVS can be shaped to adjust for the patient's anatomy. The camera located at the end of the stylet can visualize the laryngeal inlet and vocal cords though the color monitor attached at the handle [4]. It has been already known that CVS facilitates single-lumen endotracheal tube placement in patients with limited neck motion and limited mouth opening [4,5].…”

mentioning

confidence: 99%

“…The camera located at the end of the stylet can visualize the laryngeal inlet and vocal cords though the color monitor attached at the handle [4]. It has been already known that CVS facilitates single-lumen endotracheal tube placement in patients with limited neck motion and limited mouth opening [4,5]. The narrowest portion of a 35 Fr DLT has a 5 mm diameter; thus, an ideal intubating stylet for DLT should have at least 37 cm in length and be less than 5 mm in diameter [2].…”

mentioning

confidence: 99%

The use of the Clarus Video System for double-lumen endobronchial tube intubation in a patient with a difficult airway

Kim

Jun

Kim

2013

Korean J Anesthesiol

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The Clarus Video System (Trachway) intubating stylet for awake intubation

Abstract: surface collisions as an outcome measure in two methods of fibreoptic intubation training.

Cited by 19 publications

References 10 publications

Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study

Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study

An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report

The use of the Clarus Video System for double-lumen endobronchial tube intubation in a patient with a difficult airway

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