Videolaryngoscopes: do they have role during rapid-sequence induction of anaesthesia?

Asai, T.

doi:10.1093/bja/aev544

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…This is especially useful for rapid sequence inductions and in patients at the risks of hypoxia and aspiration. [74] Fourth, during airway management training, the shared view on monitor can create a dynamic interaction, which facilitates teamwork and communication of the whole training team. This may stimulate enthusiasm of the students to learn intubation skill, improving the quality and outcomes of airway management training.…”

Section: Uescope and Tracheal Intubation Teachingmentioning

confidence: 99%

“…This will provide the best care in any condition, assuring an acquirement in the experience and competence with techniques and an improvement in the comprehension of their limitations and value. [74] Recently, the use of VL as a standard care to replace DL for all tracheal intubations has been appealed by airway experts. [75]…”

Section: Uescope and Tracheal Intubation Teachingmentioning

confidence: 99%

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Current Evidences for the Use of UEscope in Airway Management

Xue

Yang

Liu

et al. 2017

Chinese Medical Journal

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Objective:UEscope is a new angulated videolaryngoscope (VL). This review aimed to describe the features of UEscope and provide clinical evidences regarding the efficacy and safety of this video device in adult tracheal intubation and its roles in airway management teaching.Data Sources:The Wan Fang Data, CNKI, PubMed, Embase, Cochrane Library, and Google Scholar were searched for relevant English and Chinese articles published up to January 15, 2017, using the following keywords: “HC video laryngoscope”, “UE videolaryngoscope”, “video laryngoscope”, and “videolaryngoscopy”.Study Selection:Human case reports, case series, observable studies, and randomized controlled clinical trials were included in our search. The results of these studies and their reference lists were cross-referenced to identify a common theme.Results:UEscope features the low-profile portable design, intermediate blade curvatures, all-angle adjustable monitor, effective anti-fog mechanisms, and built-in video recording function. During the past 5 years, there have been a number of clinical studies assessing the application and roles of UEscope in airway management and education. As compared with direct laryngoscope, UEscope improves laryngeal visualization, decreases intubation time (IT), and increases intubation success rate in adult patients with normal and difficult airways. These findings are somewhat different from the previous results regarding the other angulated VLs; they can provide an improved laryngeal view, but no conclusive benefits with regard to IT and intubation success rate. Furthermore, UEscope has extensively been used for intubation teaching and shown a number of advantages.Conclusions:UEscope can be used as a primary intubation tool and may provide more benefits than other VLs in patients with normal and difficult airways. However, more studies with large sample are still needed to address some open questions about clinical performance of this new VL.

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Section: Uescope and Tracheal Intubation Teachingmentioning

confidence: 99%

Section: Uescope and Tracheal Intubation Teachingmentioning

confidence: 99%

Current Evidences for the Use of UEscope in Airway Management

Xue

Yang

Liu

et al. 2017

Chinese Medical Journal

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“…Different cricoid forces may have to be used depending on the scenario as in children, obese, use of head up position, preanesthetic nasogastric tube in situ and with use of VLS. [1425] Zeidan et al showed the median cricoid force for female is 18.7 N (95% confidence interval 17.1–20.3) and 30.8 N (95% confidence interval 28.15–33.5) for males suggesting that median force necessary to occlude esophageal entrance to prevent regurgitation is less in women. [26] Oh et al showed that CP with increasing force resulted in a worse laryngeal view with Pentax AWS.…”

Section: Discussionmentioning

confidence: 99%

“…Though there was no statistical or clinical hemodynamic variations, the prolonged apnea time may cause hypoxia in patients with reduced oxygen reserve. [25] The use of a single design, broad channeled blade of KVL was also a limitation. The results would probably vary if non-channeled KVL blade was used as it is a thin blade that is easier to insert when the midpharyngeal space gets narrowed with the application of CP.…”

Section: Discussionmentioning

confidence: 99%

Effect of cricoid pressure on the glottic view and intubation with king vision^® video laryngoscope

et al. 2019

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Context: To establish the usefulness of King Vision ® video laryngoscope (KVL) in patients with rapid sequence anesthesia. Aims: This study aims to compare the role of KVL on glottic visualization, intubation time and associated sympathetic response in routine intubations to those intubations done with cricoid pressure (CP). Settings and Design: Randomized controlled study in a tertiary care hospital. Methodology: Seventy-six patients intubated with KVL were randomized to two groups – Group C (who did not receive any CP) and Group CP – who received CP. The percentage of glottic opening (POGO), intubation time, subjective assessment, and number of attempts taken to introduce KVL and endotracheal tube (ETT) were noted. The saturation, end-tidal carbon dioxide concentration and hemodynamic response (heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and rate pressure product) in the peri-intubation period were also recorded. Results: The demographics, airway, and technical characteristics of insertion of KVL and ETT were comparable between the groups ( P > 0.05). POGO score was 100% in both groups. The significant time in insertion of KVL (Group C 29.87 ± 11.64 s and Group CP 40.68 ± 18.93 s, P = 0.004) and ETT (Group C 17.53 ± 8.71 s and Group CP 22.42 ± 10.77 s, P = 0.033) contributed to prolonged overall intubation time in CP (Group C 41.11 ± 11.65 s and Group CP 51.05 ± 17.31 s, P = 0.005). The intergroup and intragroup hemodynamic variables did not show any statistical significance ( P > 0.05) over time. Conclusion: Although overall intubation time with KVL is prolonged in patients with CP, it provides excellent glottic view, eases intubation, and causes insignificant hemodynamic variation.

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“…It is not clear whether tracheal intubation using a videolaryngoscope is less likely to traumatize the airway or to prolong apnea time, both of which may lead to serious airway complications [22]. Clarification of these would establish the true role of videolaryngoscopes in patients with difficult airways, particularly in patients receiving rapidsequence induction of anesthesia and in those undergoing emergency Cesarean section [27,28].…”

Section: Adequate Planningmentioning

confidence: 99%

Progress in difficult airway management

Asai

2017

J Anesth

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Videolaryngoscopes: do they have role during rapid-sequence induction of anaesthesia?

Abstract: Simulated procedure rehearsal is more effective than a preoperative generic warm-up for endovascular procedures.

Cited by 11 publications

References 20 publications

Current Evidences for the Use of UEscope in Airway Management

Current Evidences for the Use of UEscope in Airway Management

Effect of cricoid pressure on the glottic view and intubation with king vision^® video laryngoscope

Progress in difficult airway management

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Videolaryngoscopes: do they have role during rapid-sequence induction of anaesthesia?

Abstract: Simulated procedure rehearsal is more effective than a preoperative generic warm-up for endovascular procedures.

Cited by 11 publications

References 20 publications

Current Evidences for the Use of UEscope in Airway Management

Current Evidences for the Use of UEscope in Airway Management

Effect of cricoid pressure on the glottic view and intubation with king vision® video laryngoscope

Progress in difficult airway management

Contact Info

Product

Resources

About

Effect of cricoid pressure on the glottic view and intubation with king vision^® video laryngoscope