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

Kim, Young Ri; Jun, Byung Hui; Kim, Jie Ae

doi:10.4097/kjae.2013.65.1.85

Cited by 6 publications

(5 citation statements)

References 5 publications

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“…shortcomings [178,180]. Not surprisingly, VS technique was alternatively applied for double-lumen endobronchial tube insertion [90,181,182]. It was found that VS is quicker, easier, has better glottic visualization, less complications, and was a useful alternative airway tool for placement of DLEB tube.…”

Section: Figure 26 Application Of Vs Technique With Rapid Sequence In...mentioning

confidence: 99%

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Luk¹,

Luk²,

Qu³

et al. 2023

Advances in Tracheal Intubation

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Difficult or failed intubation is a major contributor to morbidity for patients and to liability for the provider. Research to improve understanding, prevention, and management of such complications remains an anesthetic priority, and a driving force behind continuous improvements in intubation techniques and intubation equipment. The purpose of this review article is to focus on the video-assisted intubating stylet technique (VS; also known as the Shikani optical stylet technique for intubation) and video-assisted optical stylet devices, both for routine use and alternative rescue application for tracheal intubation, and stress their advantages as compared to conventional direct laryngoscopy and videolaryngoscopy. The VS technique was introduced by Dr. Alan Shikani in 1996 and popularized with the advent of the Shikani optical stylet and subsequent similar stylets variations. We focus on the clinical details of the technique itself, and on the various advantages and troubleshooting under different clinical scenarios and practice settings. In our experience, video-assisted intubating stylet technique often constitutes the most appropriate approach both for daily routine and emergency airway management. Furthermore, we also emphasize the importance of video-assisted intubating stylets in enhancing the practitioner systems response when difficult or failed tracheal intubation is encountered.

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Section: Figure 26 Application Of Vs Technique With Rapid Sequence In...mentioning

confidence: 99%

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Luk¹,

Luk²,

Qu³

et al. 2023

Advances in Tracheal Intubation

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“…Since our introduction of the TVI stylet for tracheal intubation [ 6 ], it has been widely used in clinical practice for normal and emergency airways [ 7 ]. 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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“…We recruited 33 publications demonstrating the use of different VL for placement of DLT. [ 5 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 ]…”

Section: Resultsmentioning

confidence: 99%

“…[ 36 ] Similarly, other investigators have reported successful OptiScope ® -assisted DLT intubation in patients with a difficult airway. [ 37 38 ]…”

Section: Resultsmentioning

confidence: 99%

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

El-Tahan

2016

Saudi J Anaesth

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The advances in thoracic procedures require optimum lung separation to provide adequate room for surgical access. This can be achieved using either a double-lumen tube (DLT) or a bronchial blocker (BB). Most thoracic anesthesiologists prefer the use of DLT. However, lung separation in patients with potential difficult airway can be achieved using either BB through a single lumen tube or placement of a DLT over a tube exchanger or a fiberoptic bronchoscope. Numerous videolaryngoscopes (VL) have been introduced offering both optical and video options to visualize the glottis. Many studies reported improved glottis visualization and easier DLT intubation in patients with normal and potential difficult airway. However, these studies have a wide diversity of outcomes, which may be attributed to the differences in their designs and the prior experience of the operators in using the different devices. In the present review, we present the main outcomes of the available publications, which have addressed the use of VL-guided DLT intubation. Currently, there is enough evidence supporting using VL for DLT intubation in patients with predicted and unanticipated difficult airway. In conclusion, the use of VL could offer an effective method of DLT placement for lung separation in patients with the potential difficult airway.

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

Cited by 6 publications

References 5 publications

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

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

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

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