Videolaryngoscopy as a new standard of care

Zaouter, Cédrick; Calderon, J.; Hemmerling, Thomas M.

doi:10.1093/bja/aeu266

Cited by 158 publications

(119 citation statements)

References 17 publications

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“…As acquisition costs decrease over time, moreover, these devices will become increasingly popular (69,70). It can be predicted that the next logical step in the evolution of the videolaryngoscopy will be for use in patients with a normal airway as a replacement for direct laryngoscopy (12,13,71). I believe that with increasing use of videolaryngoscopy in clinical airway management, its potential benefits of patients will be numerous and significant.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, videolaryngoscopy-assisted intubation has been used widely in patients with difficult airways or as rescue tools in failed intubation attempts with direct laryngoscopy. Moreover, using videolaryngoscopy as a standard care to replace direct laryngoscopy is continually appealed by airway experts (12). The aim of this article is to provide a brief review of the literature on videolaryngoscopes and discuss their role in current airway management.…”

mentioning

confidence: 99%

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Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

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Aim of review:The aim of this article is to review the recent literatures regarding videolaryngoscopes, compare performance of videolaryngoscopy versus direct laryngoscopy, discuss the role of videolaryngoscopy in clinical airway management and provide the measures that can improve the performance of videolaryngoscopy and decrease complications associated with videolaryngoscopy. Methods: The literatures about the use of videolaryngoscopes in the clinical airway management, published in the past decades, were searched from the Pubmed and Cochrane databases and reviewed, in order to determine their performance, and identify their limitations and find appropriate alternate techniques to overcome their shortcomings and failures. Recent findings: Videolaryngoscopes are promising intubation devices, which are easy to use, and the skills involved are easy to obtain by either novices or experienced intubators. In the current practice, videolaryngoscopes are commonly used as main devices of predicted difficult airways and as rescue tools of difficult or failed direct laryngoscopy. For patients with difficult airways, videolaryngoscopy can provide an improved laryngeal visualization and achieve a higher intubation success rate compared with direct laryngoscopy. Moreover, videolaryngoscopy has the potential to increase patient safety by facilitating learning, teaching, and success of tracheal intubation. Despite the very good laryngeal visualization, the insertion and advancement of the tracheal tube with videolaryngoscopy may occasionally fail, and the airway injuries associated with videolaryngoscopy can occur. Summary: The introduction of videolaryngoscopy has resulted in a dramatic transformation of clinical airway management and is seen as the evolutionary step in intubation technology. There are several different types of videolaryngoscopes available. Each device's features may offer advantages or disadvantages, depending on the situation the anesthetist has to deal with. To get the best out of videolaryngoscopy, all anesthetists must be trained in the use of videolaryngoscopes and such devices should be available in all sites where tracheal intubation is performed.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Xue¹,

Liu²,

Li³

et al. 2016

J Anesth Perioper Med

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“…It is impossible to know how many intubations are carried out daily using them, and clearly the main advantage of these devices depends not only on the "quantitative" improvement of laryngoscopy, but also on the quality in the image that allows recognizing anatomical structures, obtaining a laryngeal field of vision between 45° and 60° [7].…”

mentioning

confidence: 99%

“…Different authors have already proposed to integrate those images and / or videos recorded during intubation with the video laryngoscope in the system of electronic medical history, along with other descriptors of the airway, for later anesthesiologists to see the data in the future [7].…”

mentioning

confidence: 99%

Videolaryngoscopes: From A Vision Problem to A Communication Problem

Hurtado¹

2017

SOJAPM

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“…, equipped with a video screen, anti fog mechanism and a 60-degree angle that improved the glottic exposure even in trauma setting [10]. …”

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confidence: 99%

Searching for the Perfect Airway Device, too Many Options So Little Time

Flores-Carrillo¹

2015

JACCOA

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Anesthesiologist used to intubate most of the patients with or without difficult airway in the operatingrooms-and as time passed this translated to people suffering from different conditions that represented an imminent failure to oxygenate properly, most of the times tracheal intubation and mechanical ventilation needed to be started. A difficult airway represents a complex interaction between patient factors, the clinical setting and provider skills [4]. These difficult cases can quickly become emergencies with life-threatening complications or even death. Although rare, the difficult intubation setting presents in the operating rooms presents in 1.15 to 3.8% increasing to a disturbing range of 9 to 12% in the emergency setting outside the OR [5]. As airway management has evolved and other specialists such as intensive care or emergency physicians acquired the responsibility of securing and establishing a patent airway, the risk of doing so in an unstable setting increases the complication rate up to 28% with a mortality of 3% associated with complications such as esophageal intubation, hypoxia, bradycardia and cardiac arrest [6,7]. During training a specialist should undergo at least 57 intubating procedures with a conventional laryngoscope to achieve a 90% success rate [8]. Video assisted intubation was not a popular option at the beginning because of high cost and unpractical rigid designs. Videolaringoscopes utilizes indirect laryngoscopy via its camera improving glottic visualization, usually requiring less force to the base of the tongue and soft tissue [9]. The first popular videolaryngoscope introduced in 2001 to clinical practice was the Glidecope Laryngoscope, Verathon

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Videolaryngoscopy as a new standard of care

Cited by 158 publications

References 17 publications

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Videolaryngoscopy Assisted Intubation — New Era for Airway Management

Videolaryngoscopes: From A Vision Problem to A Communication Problem

Searching for the Perfect Airway Device, too Many Options So Little Time

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