The video laryngoscopes, blind spots and retromolar trigonum injury by the GlideRite<sup> ®</sup> rigid stylet

Magboul, Magboul M. A.; Joel, Shaw

doi:10.4103/0259-1162.73519

Cited by 4 publications

(3 citation statements)

References 14 publications

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“… 21 , 22 Leong et al 23 also reported perforation of palate-pharyngeal wall during tracheal intubation using a GlideScope causing a sore throat and minor bleeding, which might be attributed to the use of a rigid stylet, big size blade, and excessive force during advancing the ETT through the glottis. Magboul et al 24 reported the first case of serious lingual nerve injury in morbidly obese 80-year-old female, caused by the GRS. They recommended the use of soft stylets and soft tipped ETT to prevent trauma.…”

Section: Discussionmentioning

confidence: 99%

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Sheta¹,

Abdelhalim²,

Elzoughari³

et al. 2015

SMJ

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Objectives:To evaluate Parker Flex-It stylet as an alternative to GlideRite Rigid stylet to aid tracheal intubation with the Glidescope.Methods:This prospective randomized trial was conducted at King Abdulaziz University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia between May and December 2014. Sixty American Society of Anesthesiologists I-II patients were randomly assigned to one of 2 equal groups receiving intubation by Glidescope using either GlideRite Rigid stylet (Group GS) or Parker Flex-It stylet (Group PS). The total intubation time, ease of intubation, incidences of successful intubation at first attempt, number of intubation attempts, use of optimization maneuvers, and possible complications were recorded.Results:No significant differences between both groups regarding the total intubation time (p=0.08) was observed. Intubation was significantly easier in group PS compared with group GS as measured by visual analogue scale (p=0.001) with no significant differences between the groups regarding the rate of successful tracheal intubation from first attempt (p=0.524). However, the number of attempts at intubation and usage of external laryngeal manipulation were similar in both groups (p>0.05). The incidence of sore throat, dysphagia, hoarseness, and trauma were significantly higher in group GS (p<0.05).Conclusion:Parker Flex-It stylet is as effective as GlideRite Rigid stylet when used by experienced operators in patients with normal airways using Glidescope; however, it is easier and less traumatic.

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Section: Discussionmentioning

confidence: 99%

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Sheta¹,

Abdelhalim²,

Elzoughari³

et al. 2015

SMJ

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“…Nevertheless, videolaryngoscopy has disadvantages, limitations and possible complications that we need to consider [19], [20]. It can´t be performed without an adequate mouth opening and is limited by a non-linear access to the glottis, requires a more cooperative patient, can provoke more serious traumatic injuries and is probably more stimulating and consequently more uncomfortable or worse to tolerate.…”

Section: Reduced Neck Extensionmentioning

confidence: 99%

Awake videolaryngoscopy: Could it be a safe alternative to awake fiberoptic intubation?

Carolina¹,

Rego²,

Pereira³

et al. 2023

Rev. chil. anest.

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Introduction: Awake fiberoptic intubation has for many years been the gold-standard in patients with difficult airway. Videolaryngoscopy has already shown some advantages in patients with a difficult airway and compared to fiberoptic intubation it uses a technically simpler equipment and it is easier and quicker to learn. The aim of this article is to discuss awake videolaryngoscopy as an alternative to awake fibreoptic intubation and some practical aspects regarding regional anesthesia. Material and Methods: We report the successful tracheal intubation of 10 awake patients using the videolaryngoscope C-MAC ® D-blade TM . Administration of atropine and sedation with alfentanil and midazolam was performed. Anesthesia was achieved with spray applied on the surface of the tongue and oropharynges, a bilateral submucous block of the glossopharyngeal nerve and a transtracheal injection. Results and Conclusions: The technique was successful on the first attempt in the 10 cases. Regional anaesthesia and sedation were sufficient, once ventilatory and hemodynamic stability were observed, except in 1 case where tachycardia, hypertension and mild agitation were noted, without however compromising the procedure and with no need for further intervention. Our cases series suggest the hypothesis that videolaryngoscopy can be an alternative to fiberoptic intubation in awake patients. We also suggest it is easier to learn and can be performed with a similar success, security and comfort of patients.

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“…Some devices showed peculiar limitations, such as influence of external light (thus limiting their use out of hospital emergency room); influence of mouth opening (so that new parameters should be defined for video laryngoscopic intubation), and the so called point of "blind spots" 18 requiring particular care during maneuvers, especially in crowded mouth so to avoid "new" complications such as palatal or tonsillar perforations.…”

Section: Seeing Is Not Survivingmentioning

confidence: 99%

Airway Visualization: Eyes See What Mind Knows

Sorbello

Frova

Zdravković

2016

ACC

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SUMMARY -Airway management is basic for anesthesia practice, and sometimes it can represent a really dramatic scenario for both the patient and the physicians. Laryngoscopy has been the gold standard of airway visualization for more than 60 years, showing its limitations and failure rates with time. New technology has made available an opportunity to move the physician's eye inside patient airways thanks to video laryngoscopy and video assisted airway management technique. Undoubtedly, we have entered a new era of high resolution airway visualization and different approach in airway instrumentation. Nevertheless, each new technology needs time to be tested and considered reliable, and pitfalls and limitations may come out with careful and long lasting analysis, so it is probably not the right time yet to promote video assisted approach as a new gold standard for airway visualization, despite the fact that it certainly offers some new prospects. In any case, whatever the visualization approach, no patient dies because of missed airway visualization or failed intubation, but due to failed ventilation, which remains without doubt the gold standard of any patient safety goal and airway management technique. Airway management remains one of the main tasks for anesthesiologists and failure in airway control remains one of the most important sources of perioperative morbidity and mortality in anesthesia 1 . For this reason, many different strategies, devices and techniques have been developed in the last years to face this reality and to improve periprocedural safety.Ventilation and oxygenation remain the main targets in terms of patient safety, whereas laryngoscopy is probably the key point, if not even the starting point of any airway management strategy 2 . We know that many factors, including patient condition and anatomy, operator experience, and device availability and setting 3 may make laryngoscopy very difficult if not impossible, underlining how the conventional Macintosh approach ('standard laryngoscopy' or 'direct laryngoscopy'), which remains the most popular approach for airway visualization, might show important limitations. Everything in LineSeveral years ago, Cooper wrote an amazing editorial on the future of laryngoscopy 4 , reminding us that what makes man different from other species is disalignment of airway and esophagus, which on the one hand allows us social behavior during meals, but on the other hand generates a real challenge for airway management.Basic for conventional laryngoscopy, and consequently for intubation, is achieving the so called 'line of sight', between the physician's eye and the larynx. For this purpose, any anesthesiologist, even if still inexperienced, knows that intubation maneuver starts with patient's head positioning so to achieve alignment between the operator's eye and oral, pharyngeal

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The video laryngoscopes, blind spots and retromolar trigonum injury by the GlideRite^® rigid stylet

Abstract: We report the first case of retromolar trigonum tissue injury in an 80-year-old female, caused by the Rigid GlideScope® Stylet. This complication was discovered during oral surgery.

Cited by 4 publications

References 14 publications

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Awake videolaryngoscopy: Could it be a safe alternative to awake fiberoptic intubation?

Airway Visualization: Eyes See What Mind Knows

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The video laryngoscopes, blind spots and retromolar trigonum injury by the GlideRite ® rigid stylet

Abstract: We report the first case of retromolar trigonum tissue injury in an 80-year-old female, caused by the Rigid GlideScope® Stylet. This complication was discovered during oral surgery.

Cited by 4 publications

References 14 publications

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope

Awake videolaryngoscopy: Could it be a safe alternative to awake fiberoptic intubation?

Airway Visualization: Eyes See What Mind Knows

Contact Info

Product

Resources

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The video laryngoscopes, blind spots and retromolar trigonum injury by the GlideRite^® rigid stylet