The use of the GlideScope ® for tracheal intubation in patients with ankylosing spondylitis

Lai, Hsien-Yong; Chen, I. H.; Chen, A.; Hwang, F. Y.; Lee, Yi

doi:10.1093/bja/ael133

Cited by 121 publications

(62 citation statements)

References 9 publications

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“…According to the fluoroscopic comparisons between GlideScope and Macintosh, GlideScope does not significantly decrease the movement of cervical spine, but improves glottic visualization in patients with MILS . Furthermore, in patients with ankylosing spondylitis, the GlideScope provided better laryngoscopic view than Macintosh and allowed nasotracheal intubation in the majority of these patients 31 25 . Key points: The application of MILS facilitates safe intubation, but makes direct laryngoscopy more difficult.…”

Section: Cervical Spine Concernsmentioning

confidence: 99%

Challenges in the Use of Video Laryngoscopes

Maldini

Hodzovic

Goranović

et al. 2016

ACC

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SUMMARY -Despite the lack of uniformity and the need of further investigation, video laryngoscopy continues to gain popularity both inside and outside the operating room. It has quickly become a first line strategy for potential and/or encountered difficult intubation. It is well established that video laryngoscope improves laryngeal view as compared with direct laryngoscopy in patients with suspected difficult intubation and simulated difficult airway scenarios. For novices and experienced anesthesiologists alike, video laryngoscopy is easy to use and the skills involved are easy to master. However, it is important to say that video laryngoscopes may be used in a variety of clinical scenarios and settings because of the video laryngoscope design offering an alternative intubation technique in both anaesthetized and awake patients. The aim of this article is to show and highlight clinical situations in which the use of video laryngoscope is a challenge for an experienced anesthesiologist in solving the airway. Challenges in the use of video laryngoscope with which we deal and encounter in everyday clinical practice that are discussed in this paper are intubation in the prehospital setting and emergency departments, intubation in Intensive Care Unit, intubation in a patient with cervical spine immobilization, and awake video laryngoscopy-assisted tracheal intubation in the obese. We also point out the important role of video laryngoscope as a tool for teaching and training in airway education. Training and education in difficult airway management is essential to improve patient safety at endotracheal intubation in emergency situation.

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Section: Cervical Spine Concernsmentioning

confidence: 99%

Challenges in the Use of Video Laryngoscopes

Maldini

Hodzovic

Goranović

et al. 2016

ACC

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“…57 Improved intubation success rates may be seen in particular in difficult airway scenarios. Case reports, 66 case series, [67][68][69] and larger retrospective studies 60 have provided evidence that video laryngoscopes are useful as rescue devices after failed direct laryngoscopy. In one large retrospective study of Ͼ 2,000 intubations, 60 subjects were identified as potential difficult laryngoscopic intubations if they had limited mouth opening (Ͻ 3 cm) or short thyromental distance (Ͻ 6 cm), pre-existing neck pathology (mass, surgical scar, or radiation), a Mallampati score of 3 or 4, or limited neck extension or were morbidly obese.…”

Section: Rigid Video Laryngoscopesmentioning

confidence: 99%

Direct and Indirect Laryngoscopy: Equipment and TechniquesDiscussion

Collins

2014

Respir Care

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“…Currently, patients with these deformities can be successfully treated with nasotracheal fiberoptic intubation if attempts with other techniques have failed. 26,44 As a special consideration for patients with AS, informed consent should include obtaining a consent for tracheotomy in the event that an obstructive cervical osteophyte or severe cervical flexion deformity prevent successful intubation.…”

Section: Neurosurg Focus / Volume 24 / January 2008mentioning

confidence: 99%

Perioperative challenges in the surgical management of ankylosing spondylitis

Sciubba

Nelson

Hsieh

et al. 2008

FOC

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✓ Patients with ankylosing spondylitis (AS) who present with spinal lesions are at an increased risk for developing perioperative complications. Due to the rigid yet brittle nature of the ankylosed spines commonly occurring with severe spinal deformity, patients are more prone to developing neurological deficits. Such risks are potentially increased not only during surgical manipulation or deformity correction, but also during image acquisition, positioning within the operating room, and intubation. In this review the complications of AS are reviewed, and recommendations are provided to avoid problems during each stage of patient management.

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The use of the GlideScope ® for tracheal intubation in patients with ankylosing spondylitis

Cited by 121 publications

References 9 publications

Challenges in the Use of Video Laryngoscopes

Challenges in the Use of Video Laryngoscopes

Direct and Indirect Laryngoscopy: Equipment and TechniquesDiscussion

Perioperative challenges in the surgical management of ankylosing spondylitis

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