Ultrasound-guided versus Shikani optical stylet-aided tracheal intubation: a prospective randomized study

Ma, Yuanyuan; Wang, Yan; Ping, Shi; Xue, Cao; Ge, Shengxiang

doi:10.1186/s12871-020-01133-4

Cited by 6 publications

(7 citation statements)

References 13 publications

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“…Video-assisted intubating stylet technique, using the Shikani method of intubation [ 4 ], has been gaining popularity in many medical centers in Taiwan and around the world in recent years [ 6 , 7 , 8 , 9 , 10 ]. Studies in the literature have shown that the mean time to carry out intubation when using the Shikani stylet was 42.4 s [ 21 ] and 58 s [ 22 ]; however, this includes operators who are still in the learning curve and/or are not quite experienced with the Shikani stylet.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the use of PPE, safe methods and protocols to conduct tracheal intubation procedures on COVID-19 patients are of paramount importance. Besides the conventional direct laryngoscopy and videolaryngoscopy, a “seeing” intubating stylet technique for tracheal intubation has been pioneered by Shikani [ 4 ] and modified by Levitan [ 5 ] decades ago, and numerous articles have been published on thousands of patients detailing the safety and advantages of the Shikani video-assisted optical stylet tracheal intubation method [ 6 , 7 , 8 , 9 , 10 ]. To our knowledge, this report describes for the first time the use of the Shikani video-assisted intubating stylet and technique to safely conduct tracheal intubation in a patient with a fatal COVID-19 infection in a negative pressure isolation room environment.…”

Section: Introductionmentioning

confidence: 99%

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The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient

Yang

Luk

et al. 2022

Healthcare

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Tracheal intubation and ventilatory support are among the important treatments in patients infected with COVID-19 with acute respiratory distress syndrome (ARDS) and severe hypoxia. The intubating team often uses video-assisted intubation equipment to ensure a safe and successful tracheal intubation. In this case report, we demonstrate for the first time, the use of the Shikani video-assisted intubating stylet and the Shikani intubating technique as a safe, speedy, and effective way to intubate a critically ill and highly contagious COVID-19 patient. In addition to the conventional consensus guidelines that are currently available for good practice (such as the proper use of personal protection equipment, etc.), we demonstrated that using the Shikani video-assisted intubating stylet is a reliable and proficient technique that is easy to learn while minimizing the risk of COVID-19 exposure of the airway personnel.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient

Yang

Luk

et al. 2022

Healthcare

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“…This technique was later reported by Moustafa et al to be 99%, 132/133 (72%, 96/133 on the first attempt) effective needing 57 s in adult patients [41]. This high efficacy was later confirmed by Ma et al, who found a 93.3% (28/30) success rate [42].…”

Section: Ultrasound Guided Tracheal Intubationmentioning

confidence: 78%

“…All studies used a hypoechoic shadowing and widening of the vocal cords in transversal view as proof of endotracheal intubation [41][42][43].…”

Section: Ultrasound Guided Tracheal Intubationmentioning

confidence: 99%

The Role of Lung Ultrasound in the Management of the Critically Ill Neonate—A Narrative Review and Practical Guide

et al. 2021

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Lung ultrasound makes use of artifacts generated by the ratio of air and fluid in the lung. Recently, an enormous increase of research regarding lung ultrasound emerged, especially in intensive care units. The use of lung ultrasound on the neonatal intensive care unit enables the clinician to gain knowledge about the respiratory condition of the patients, make quick decisions, and reduces exposure to ionizing radiation. In this narrative review, the possibilities of lung ultrasound for the stabilization and resuscitation of the neonate using the ABCDE algorithm will be discussed.

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“…Several studies provide promising results about the high pooled sensitivity (about 98%) and specificity (about 97%) of POCUS in confirming ETI 15–17. Real-time POCUS further extends to assist ETI 18 19. Notably, POCUS provides a view independent of laryngoscopy or bronchoscopy, making it possible to combine the outside with the inside visualisation 13.…”

Section: Introductionmentioning

confidence: 99%

Developing a magnetic POCUS-guided bronchoscope for patients with suspected difficult endotracheal intubation in a general tertiary hospital: protocol for a randomised controlled study

et al. 2023

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IntroductionEndotracheal intubation (ETI) is a crucial but risky procedure, especially among patients suspected of difficult endotracheal intubation (DTI). Bronchoscope, as an improved technique commonly used in DTI, might encounter visualisation difficulties. The magnetic point-of-care ultrasound (MGPOCUS) provides a novel visualisation from the outside and enables estimation of the relative position and trajectory of the bronchoscope. The purpose of the study was to evaluate the efficiency of MGPOCUS-guided bronchoscopy, including the time required for successful ETI, the first attempt and overall success rate, the number of attempts, complications, and satisfaction with the visualization of the procedures.Methods and analysisThe study is a randomised, parallel-group, single-blinded, single-centre study. Participants (n=108) will be recruited by the primary anaesthesiologist and randomised to groups of ETI with bronchoscope or MGPOCUS-guided bronchoscope. The primary outcome is the time taken to the first-attempt success ETI. Secondary outcomes include procedure time, the first-attempt and overall success, complications, and satisfaction of visualisation. Cox regression with Bonferroni correction and linear mixed regression will be used to analyse the outcomes.Ethics and disseminationThe trial protocol was approved by the ethics committees at the Peking Union Medical College Hospital (Institutional Review Board #ZS-3428). Findings will be disseminated through conference presentations and peer-reviewed journals.Trial registration numberNCT05647174

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Ultrasound-guided versus Shikani optical stylet-aided tracheal intubation: a prospective randomized study

Cited by 6 publications

References 13 publications

The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient

The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient

The Role of Lung Ultrasound in the Management of the Critically Ill Neonate—A Narrative Review and Practical Guide

Developing a magnetic POCUS-guided bronchoscope for patients with suspected difficult endotracheal intubation in a general tertiary hospital: protocol for a randomised controlled study

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