With the Airway Scope a full view of the glottis was seen and trachea was intubated easily. In the third case, a middle‐aged man with an unstable neck was scheduled for cervical laminectomy. Tracheal intubation using the Airway Scope was successful at the first attempt, while the head and neck were stabilised. Previous studies have demonstrated that the common laryngoscopic approach (right-sided) and midline approach are both used for endotracheal intubation by direct laryngoscopy. Although the midline approach is commonly recommended for video laryngoscopy (VL) in the clinic, there is a lack of published evidences to support this practice. This study aimed to evaluate the effects of different video ... anticipated difficult airway is well proven but in certain situations there can be failure where conventional tracheostomy is an alternative method of securing airway. 2, 3 We report a case of Down’s syndrome posted for subtotal thyroidectomy where there was failure of fiberoptic intubation and tracheostomy. Case study
Our case report illustrates difficult fiberoptic intubation in a patient with massive ameloblastoma. Identification of ETT deviation even with insufficient blade insertion and hand-assisted alteration of the ETT direction might raise the chances of successful fiberoptic intubation. Fiber optic bronchoscopy was used in combination with Airway scope  for tracheal intubation of a patient with large epiglottic cyst. Another case study reported the use of fiber optic bronchoscopy combined with Glidescope for unexpected difficult intubation . In recent years, videolaryngoscopes have gained popularity. BACKGROUND: Tracheal intubation in the lateral position is difficult because the laryngeal view is compromised during direct laryngoscopy. The Airway Scope facilitates intubation even when laryngeal views are poor with direct laryngoscopy, as they often are in the lateral position.
Difficult tracheal intubation: a retrospective study G. L. T. SAMSOON AND J. R. B. YOUNG Summary This is a retrospective study of patients whose tracheas were impossible to intubate on a previous occasion. There is a correlation between the degree of difficulty and the anatomy of the oropharynx in the same patient. the described case, we decided to conduct awake intubation because the patient had three important factors influencing the possibility of a difficult intubation: neck circumflex greater than 40 cm, diabetes mellitus, and superobesity.3,13 In morbidly obese patients, use of an awake intubation technique and videolaryngoscope is recommended.14 There
Difficult intubation is defined as the need for more than three attempts for intubation of the trachea or more than 10 minutes to achieve it, a situation that occurs in between 1.5% and 8% of general anesthesia procedures.11,12 Greater degree of difficulty in intubation is associated with greater incidence and severity of complications.13 CASE REPORT Successful use of the AirTraq laryngoscope in 3 cases of difficult intubation DAVID DOMÍNGUEZ GARCÍA, INÉS VÁZQUEZ NAVILLE, ... It incorporates a scope that enables a view of the glottis and of the orotracheal tube as it is advanced past the vocal cords. Aligning Comparative analysis of airway scope and Macintosh laryngoscope for intubation primarily for cardiac arrest in prehospital setting. ... even in the case of a difficult airway ... Multiple logistic regression analysis showed that the major associating factors for successful intubation in the present study were cervical immobilization and oral ...
Airway Scope for difficult intubation. ... In this prospective study, the Airway Scope was used for the endotracheal intubation of 405 patients by 74 airway operators. ... We describe a case of ... Case study: Use direct laryngoscopy. The most effective means of tracheal intubation in the ED is by direct laryngoscopy, argues Richard M. Levitan, MD, an attending ED physician at the Hospital of the University of Pennsylvania in Philadelphia. "No other means of tracheal tube insertion is faster, simpler, or more successful under ED conditions," Levitan says. To improve these limitations, the authors designed a new fiberoptic stylet scope (FSS) that has a simple form of a standard stylet with the fiberoptic view and maneuverability of its tip. This study was undertaken to prospectively evaluate the effectiveness of the FSS in tracheal intubation.
The Bonfils fiberscope provided faster intubation than fiberoptic intubation in the clinical nonrandomized study of the pediatric difficult airways . Several case reports, which describe the successful difficult airway management in pediatric patients by using the Shikani stylet, have been published [5, 8, 9]. There are no published articles ... Thus, it was often difficult for the anesthesiologists to place the bougies’ tips behind the epiglottis, which prolonged time required for the intubation attempt and made achievement of endotracheal intubation difficult. These findings supported the results of the bench study.
This case study demonstrates how the GlideScope AVL video laryngoscope enables successful intubation in the known difficult airway of a 4-year-old, 16.5 kg. female with a history of Goldenhar ... For the purposes for the study, an intubation attempt was defined as the placement of a laryngoscope ... for a “difficult intubation”, and complication rate and type. ... height, weight, history of being a “difficult intubation”, case type, and location were also graded on a binary scale. A four-point scale was used for age. The ... The incidence of difficult nasotracheal intubation was 10 % (n = 10). Of the patients, 61 % (n = 63) had mildly difficult intubation and 29 % (n = 30) had no difficulty. Patients with difficult intubation were more likely to be male and to have a larger tongue and a higher Cormack grade than in the other two groups.
part of this paper reviews the different factors that contribute to make intubation and/or ventilation difficult. Problems with intubation (or ventilation of the lungs) can be caused by abnormal laryngeal structures (e.g. tumour, stenosis), or by difficulty in seeing the glottis. The clinical history will usually help identify the former problem, while physical examination of the airway is ... 1 Quinn A, Milne D, Columb M, Failed intubation in obstetric anaesthesia:2 yr national case-controlled study in the UK. Br J Anaesth 2013;110:70-80 2 Djabatey E, Barclay P, Difficult and Failed intubation in 3430 obstetric general anaesthetics.
A difficult airway case with GlideScope-assisted fiberoptic intubation Article in Journal of Clinical Anesthesia 19(7):564-5 · December 2007 with 90 Reads How we measure 'reads' Furthermore, randomization would have prevented the investigation of the patient factors associated with an anesthesiologist’s choice to use the GlideScope for the initial intubation attempt. Additionally, our study used categorical descriptions for airway exam elements that were initially described in continuous terms to predict difficult ...
Case Study Alana Heaven, Anaesthetic Technologist, Clinical Specialist, Royal Children’s Hospital, ... glide scope blades and small glide scope stylets Laryngoscope handle small thick and ... essentials of the difficult intubation trolley, which is in use at the base hospital Management of the difficult airway is a challenge to anesthesiologists, and may lead to life-threatening complications. It has been reported that 1-18% of patients have a difficult airway . We presented two cases of awake fiberoptic nasotracheal intubation, in which topical anesthetic (lidocaine 60 mg) was sprayed into the airway,
McGRATH™ MAC Video Laryngoscope. Higher first attempt intubation success rate than direct laryngoscopy in routine intubation. ([FOOTNOTE=Kriege M, Alflen C, Tzanova I, et al. Evaluation of the McGrath MAC and Macintosh laryngoscope for tracheal intubation in 2000 patients undergoing general anaesthesia: the randomized multicenter EMMA trial study protocol. Methods We performed an observational study using registry data of five emergency departments. The success rates in adult patients were evaluated and compared with those of conventional laryngoscope (CL). Results The GVL was used in 345 (10.7%) of 3233 intubation attempts by EPs.
Re: Case Report . Use of Glide-scope in Trial Extubation of the Difficult Airway, DOI: 10.25177/JAS.1.1.4 . Dear Editor, The article published in SSRP Journal of Anesthesia and Surgery by Narjeet Khurmi, MD points out an important use of the glidescope. Case Report: This study reports on an AS patient presenting with these difficult airway characteristics and acute respiratory failure who was successfully intubated using video laryngoscope-assisted inverse intubation (II) and blind digital intubation (BDI).
Case Report Tracheal Intubation with Aura-i and aScope-2: How to Minimize Apnea Time in an Unpredicted Difficult Airway VittorioPavoni, 1 ValentinaFroio, 1 AlessandraNella, 1 MartinaSimonelli, 1 LaraGianesello, 1 AndrewHorton, 2 LucaMalino, 3 andMassimoMicaglio 1 Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla , FULL TEXT Abstract: Colonoscopy sometimes causes pain during insertion, especially in difficult cases. Over-insufflation of air causes elongation or acute...
This topic will review patient factors that predict difficult airway management, the development of strategies for the initial management of the predicted difficult airway in the operating room environment, management of the unanticipated difficult airway during induction of general anesthesia, and extubation of the patient with a difficult airway. With regards to difficult intubation, the overall sensitivity of the two tests was 0.50 and 0.76, while specificity was 0.89 and 0.77 (original and modified), respectively. This study was limited by the lack of any standard definition of difficult intubation [Lee et. al. Anesth Analg 102: 1867, 2006].
#15 – Difficult Airway Case Study – Eric Carlson, MSN, CRNA Jon Lowrance Posted on March 1, 2015 Posted in Airway , All Podcasts , Wellness 2 Comments Kristin talks with Eric Carlson, MSN, CRNA who shares a gripping personal tale of managing an unexpected difficult airway during an emergency Cesarean section. Anesthesiology and Emergency Medicine. Anaesthesia. 2019 Nov 14. doi: 10.1111/anae.14904. ... Comparison of the C-MAC video laryngoscope to a flexible fiberoptic scope for intubation with cervical spine immobilization. ... The use of the C-MAC videolaryngoscope for awake intubation in patients with a predicted extremely difficult airway: case ... INTRODUCTION TABLE OF CONTENTS KLEINE-BRUEGGENEY 2016 ALVIS 2016 DE JONG 2013 ALTUN 2018 YOKOSE 2016 ALSUMALIET 2018 REFERENCES 2 TABLE OF CONTENTS 3-4 INTRODUCTION Overview of the clinical evidence supporting the utility of video laryngoscopy to improve intubation success when a difficult intubation unexpectedly occurs.
This case study demonstrates how the GlideScope AVL video laryngoscope enables successful intubation in the normal infant airway of a 2-month-old, 3.7 kg. male who presented for inguinal hernia ... This prospective, randomized, blinded study aimed to determine if a difference exists in incidence of injury ... in the known or suspected difficult airway, providing an improved view of the glottic opening, albeit requiring ... GlideScope-facilitated intubation is no different. Case Fiberoptic Intubation: An Overview and Update Stephen R Collins MD and Randal S Blank MD PhD Introduction ... ple size.23 In one retrospective case control study exam-ining 454 subjects with critical cervical spine injuries over ... difficult intubation, limited mouth opening, decreased thyromental distance)
Ambu® aScope™ is a single-use flexible intubation scope that guides most difficult airway intubations and PDT procedures. ... Use of Ambu aScope 3 slim for difficult paediatric intubation - a manikin based study Read ... Feasibility of a combined use of a video-laryngoscope with a novel flexible video-stylet for predicted difficult ... RESEARCH ARTICLE Open Access A comparison of videolaryngoscopes for tracheal intubation in predicted difficult airway: a feasibility study Maria Vargas1,2*, Antonio Pastore1, Fulvio Aloj2, John G. Laffey3 and Giuseppe Servillo1,2 Abstract Special Feature . Management of the Difficult Airway. Michael Gibbs, MD, FACEP Dr. Gibbs is Chief, Department of Emergency Medicine, Maine Medical Center, Portland, ME. Dr. Gibbs has reported no relationships with companies having ties to the field of study covered by this CME program.. Effective and timely management of the airway is our paramount responsibility.
Use of Ambu aScope 3 slim for difficult paediatric intubation - a manikin based study Read abstract ... A potential technique for flexible scope-assisted intubation using an Ambu aScope 2 inserted via a supraglottic airway device ... Feasibility of a combined use of a video-laryngoscope with a novel flexible video-stylet for predicted difficult ... The Bonfils and Levitan FPS™ scopes are rigid fibreoptic stylets that may assist routine or difficult intubation. This study compared the effectiveness of each in patients with predicted normal airways when used by specialist anaesthetists with no prior experience using optical stylets. Twelve anaesthetists and 324 elective surgical patients reducing the number of failed intubation particularly among patients presenting with a difficult airway.3 However, despite their enhanced views, the presence of blood or vomitus in the oropharynx remains a major hindrance for successful intubation as the view of the video laryngo-scopes may become unavoidably obscured. In a study com-
This trial studies how well flexible intubation scope with or without video laryngoscope works in supporting endotracheal tube placement in patients with head and neck cancer before surgery. Flexible intubation scope and video laryngoscope are devices that have a small camera to help the doctor see the patient's airway on a screen. Conclusion: In the case of Cormack and Lehane grade 3 laryngoscopic view, the AWS may enable faster and easier tracheal intubation than the Macintosh laryngoscope with a GEB or the FB. We conclude that the AWS could become a valuable device to perform accurate and immediate intubation for difficult laryngoscope. Reference
Intubation can sometimes be difficult in patients with lesions in the mouth floor. Ameloblastoma is a frequently encountered tumor of the maxillofacia… CASE STUDY Chapter 9: Airway Evaluations and Management ... somewhat with difficult intubation, but ultimately the judgment is likely more ... of an endotracheal tube without the need for a fiberoptic scope), or even to awaken the patient and cancel the case. In this case, you have administered a non-depolarizing Rarely AEC use can cause potential life threatening complications. We report a case of pneumothorax following use of AEC in post-thyroidectomy patient. Case: A 32 years old male patient was admitted to our ICU, with difficult intubation after thyroidectomy. He was a known case of obtructive sleep apnea, hypertension and large goiter.
Case Study Difficult Intubation Scope © 2020 This case study demonstrates how the GlideScope AVL video laryngoscope enables successful intubation in the known difficult airway of a 4-year-old, 16.5 kg. female with a history of