Pdf comparative study of awake endotracheal intubation. Frequently, when the glidescope is subsequently inserted, the ett tip will then be in good view, resting near the glottis, and will easily advance into the trachea. Get the confidence of glidescope whenever and wherever you need it, with the portable glidescope go tm the new handheld system created for both hospital and prehospital settings. Early endotracheal tube insertion with the glidescope. Evaluation of the mcgrath mac and macintosh laryngoscope for tracheal intubation in 2000 patients undergoing general anaesthesia. The glidescope video laryngoscope, verathon medical, has a color camera embedded in a curved, high impact laryngoscope blade that resembles a macintosh mac blade with a greater curvature. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to gain access to this resource from offcampus. Evaluation of the glidescope for tracheal intubation in. Glidescope video laryngoscopes are designed to deliver high resolution airway views when used with compatible glidescope video monitors.
Glidescope technique for intubation in small mouths posted on june 26, 2018 september 22, 2019 author christine whitten 4 comments the glidescope video laryngoscope gvl is an extremely useful tool for managing challenging intubations, but it can be more difficult to use if your patient has a small mouth and a high arched, narrow palate. Among 9 glidescope video laryngoscope patients not achieving overall success, rescue intubation was accomplished by direct laryngoscopy n 6, cricothyrotomy n2, and cmac n1. Reverse loading to facilitate glidescope intubation pdf. A comparison of the glidescope with the macintosh laryngoscope for tracheal intubation in patients with simulated difficult airway. Intubation with the glidescope videolaryngoscope using. Patients undergoing elective intubation, those with a known history of difficult intubation, and those who had a limited mouth opening were excluded. However, intubation with the glidescope is very different than direct laryngoscopy. Glidescope article about glidescope by the free dictionary. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with gvl and dl. See how we work together glidescope bflex video baton 2. Prehospital endotracheal intubation is more difficult than in. Its use is becoming established in cases of anticipated and unanticipated difficult intubation owing to the ease of preparation and settingup, a relatively short duration to intubation, improved. Routine clinical practice effectiveness of the glidescope.
Page 43 tips for using the glidescope avl system the glidescope video laryngoscope is designed to be inserted down the midline of the tongue to the epiglottis. Despite being used for double lumen tube dlt intubations, research of its effectiveness and safety, is lacking. Of legos and laryngoscopes 56yearold male brought in by ambulance with a report of left arm shaking, left. Intubation with the glidescope videolaryngoscope using the gear stick technique. It is a particularly useful for patients with difficult airways as it has a camera attached to the blade. Tracheal intubation performed with glidescope video. Selection of participants all patients requiring intubation in the ed were entered into the database. Use of the endoflex endotracheal tube as a styletfree alternative in glidescope intubations cor espondence to the editor. To compare novice clinicians performance using glidescope videolaryngoscopy gvl to direct laryngoscopy dl. Primary outcomes included time to intubation and rate of successful intubation. Listing a study does not mean it has been evaluated by the u. Complications associated with the use of the glidescope. Tracheal intubation was considered a failure if it could not be accomplished within three attempts or 3 min, and in the event of desaturation s p o 2 an observational study sebastian g.
Both come with a variety of blade shapes and styles designed to meet the needs for nearly any intubation. We report a case of palatopharyngeal wall perforation during intubation with a glidescope laryngoscope. Selected comments extracted out of the eps freetext comment section are presented in table. We report 4 cases of difficult intubation planned and unplanned and completed successfully using the glidescope videolaryngoscope associated with endotracheal frova introducer. Difficult tracheal intubation can be anticipated in patients with rheumatoid arthritis due to ankylosis of the cervical spine, erosion of the temporomandibular joint, and deformities of laryngeal structures. The analysis aims to determine the success of gvl intubation in airways predicted to be easy. The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. The glidescope gvl has been extensively studied for single lumen tube intubation and found to be a very safe and useful device. Failure to recognize the differences of using the glidescope can make intubation not only frustrating but also hazardous to your patient. This was a prospective, randomized crossover study. Oct 31, 2018 my first looks at the new glidescope go portable video monitor and comparison of it with the older glidescope ranger system. This high quality video demonstrates a glidescope intubation on a live patient.
One of the most commonly performed emergency and hospital based procedures, endotracheal intubation is now commonly performed using video laryngoscopy. Designed for 1st pass success in military and emergency settings, the ranger system features rugged. Comparison of glidescope videolaryngoscopy to direct. I have seen many novice glidescope users struggle to intubate, despite having great views of the larynx. Glidescope and frova introducer for difficult airway. Glidescopeassisted fiberoptic bronchoscope intubation in a. A total of 88 asa iii patients requiring nasotracheal intubation for elective dental surgery with normal airways were divided into two groups according to head position, neutral position. Recipients may need to check their spam filters or confirm that the address is safe. Jun 05, 2012 hospital procedures consultants glidescope intubation hospitalist and emergency procedures course hospitalist procedures em. Intubation with the glidescope videolaryngoscope using the gear stick technique to the editor. The original glidescope advanced video laryngoscope had a standard hyperangulated blade, with a 60 curvature. The firstpass success rate for fellows in pulmonary and critical care medicine was significantly better with the video laryngoscope than with the direct laryngoscope. The term video laryngoscopy defines a broad range of devices, distinct from fiberoptic bronchoscopes, in which a video camera. Comparative study of awake endotracheal intubation with glidescope video laryngoscope versus flexible fiber optic bronchoscope in patients with traumatic cervical spine injury.
Glidescope ranger is a portable, compact video laryngoscope that provides a clear, real. To compare intubating conditions, success rate, and ease of intubation by anesthesia trainees using glidescope videolaryngoscope gvl compared to macintosh laryngoscope mcl. A comparison of the glidescope video laryngoscope to the c. Palatopharyngeal wall perforation during glidescope intubation. The likely mechanism was advancing and rotating the endotracheal tube against a taut palatopharyngeal fold. Jan 29, 2016 prehospital endotracheal intubation is more difficult than in the operating room or. Intubate routine and difficult airways with the handheld. The glidescope has improved the laryngeal view and provided better glottic exposure in patients with expected difficult airway and also in patients requiring general anaesthesia for elective surgery without difficult airway. Multimodal airway visualization learn more singleuse bronchoscope learn more spectrum singleuse video laryngoscope glidescope. Leissner3,katrinschwerdtfeger1, martin bauer1 and markus s. Higher first attempt intubation success rate than direct laryngoscopy in routine intubation. The recipients will receive an email message that includes a link to the selected article. The aim of the study was to investigate the use of the glidescope for tracheal intubation in patients with ankylosing spondylitis as undergoing general anaesthesia.
Each step begins with where the user should be looking to complete that action. My thanks to technopath for allowing me to get some hands on time with. The glidescope video laryngoscope is a new intubating device. The distal third of the blade angles upward at about 60 degrees. In this randomized, singleblinded trial, we assessed. Glidescopeassisted fiberoptic bronchoscope intubation in.
Glidescope spectrum video laryngoscopes are durable, single. Use of the glidescoperanger for prehospital intubations by. We compared the neutral and sniffing positions to establish the degree of intubation difficulty. Palatopharyngeal wall perforation during glidescoper. Use of the endoflex endotracheal tube as a styletfree.
Intubation using the glidescope r system allows visualisation of the vocal cords without alignment of the oral, pharyngeal and tracheal axes 1,2. Comparison of conventional glidescope to singleuse glidescope cobalt for orotracheal intubation. Tracheal intubation was considered a failure if it could not be accomplished within three attempts or 3 min, and in the event of desaturation s p o 2 intubation difficulty, or increased attempts, but no data exist to predict gvl intubation failure. Ease of intubation with the parker flextip or a standard. Introduction system overview the glidescope go system features a small handheld monitor that can use either glidescope spectrum video laryngoscopes or glidescope gvl stats. Refurbished verathon glidescope gvl laryngoscope for sale. Prior to beginning this procedure, verify that the monitor is receiving an. The glidescope for tracheal intubation in patients with grad. To perform an intubation, verathon recommends using the glidescope 4step technique as outlined in this procedure. The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of. The cl view was recorded from the glidescope screen table 2.
Glidescope and frova introducer for difficult airway management. The optimal head position for glidescope facilitated nasotracheal intubation has not yet been determined. Prehospital endotracheal intubation is more difficult than in the operating room or. Hospital procedures consultants glidescope intubation hospitalist and emergency procedures course hospitalist procedures em. Two hundred patients were randomly assigned to intubation by direct laryngoscopy using a macintosh size 3 blade dl, n100 or intubation using the glidescope gs, n100. Nevertheless, even with these benefits, complications are reported. Glidescope intubation video, endotracheal intubation. Free fulltext pdf articles from hundreds of disciplines, all in one place. The aim of the study was to describe the use of the glidescope in comparison with direct laryngoscopy for elective surgical patients requiring tracheal intubation. Jul 30, 2015 however, intubation with the glidescope is very different than direct laryngoscopy. Intubations using the glidescope video laryngoscope only require approximately 0. Comparison of conventional glidescope to singleuse. Statement of intended use the glidescope titanium system is intended for use by qualified professionals to obtain a clear, unobstructed view of the airway and vocal cords for medical procedures.
Therefore, enhanced airway management devices such as video laryngoscopes may be helpful to improve the success rate of prehospital intubation. Prior to beginning this procedure, verify that the monitor is receiving an accurate image from the video laryngoscope. Glidescope intubation in both primary airway management and rescuefailed direct laryngoscopy. American journal of emergency medicine aime airway. Pdf comparative study of awake endotracheal intubation with. Routine clinical practice effectiveness of the glidescope in difficult airway management. Limitations this was a singlecenter study in an academic tertiary care center.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Obtaining a view of the glottis using the glidescope videolaryngoscope gsvl is easier than delivery of the endotracheal tube ett to the glottis and its subsequent placement into the trachea. Glidescope titanium video laryngoscopes are designed to work with the glidescope video monitor version 0570. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. The ranger system is designed for field military and pre. Summary the development of less expensive, smaller, and more reliable video cameras has revolutionized the design of laryngoscopes and the process of endotracheal intubation. My first looks at the new glidescope go portable video monitor and comparison of it with the older glidescope ranger system.
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