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Effective Use of a Combined Video Laryngoscope and Bronchoscope System in the Emergency Department for a Patient With Severe Upper Airway Obstruction Due to Angioedema: A Case Report.
Cureus
December 2024
Department of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.
Management of difficult airways in the emergency department is challenging. Herein, we report a case of successful management of severe upper airway obstruction caused by angioedema, where intubation was achieved using a dual-function video laryngoscope and bronchoscope system in the emergency department for a patient with severe upper airway stenosis due to angioedema. A 74-year-old obese man with dyspnea presented to our emergency department.
View Article and Find Full Text PDFArticulating Video Stylets in the Setting of Simulated Traumatic Cervical Spine Injury: A Comparison with Four Other Devices and Approaches to Endotracheal Intubation.
J Clin Med
December 2024
Department of Anaesthesia and Intensive Care, Policlinico-San Marco University Hospital, Via S. Sofia n 78, 95123 Catania, Italy.
Simulation offers the opportunity to train healthcare professionals in complex scenarios, such as those with as traumatized patients. We conducted an observational cross-sectional research simulating trauma with cervical immobilization. We compared five techniques/devices: direct laryngoscopy (DL), videolaryngoscopy (VLS, Glidescope or McGrath), combined laryngo-bronchoscopy intubation (CLBI) and articulating video stylet (ProVu).
View Article and Find Full Text PDFWe present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope.
View Article and Find Full Text PDFNational Survey of Airway Management Practices and Training Among Emergency Medicine Residency Programs in the United States.
Perm J
December 2024
Department of Emergency Medicine, Kaiser Permanente San Diego Medical Center, San Diego, CA, USA.
Article Synopsis
- A study was conducted to analyze airway management training in emergency medicine residency programs across the U.S., highlighting the need for residents to receive extensive training due to evolving practices.
- The study surveyed 258 residency program directors, with 63 responding, primarily from university-based hospitals, revealing that residents typically perform 50-100 intubations, but few pediatric intubations.
- The results indicate a rising use of video laryngoscopy and varied teaching methods to enhance resident exposure to advanced airway management techniques in emergency medicine.
Outcome of video laryngoscopy versus direct laryngoscopy for emergency tracheal intubation in emergency department: a propensity score matching analysis.
BMC Emerg Med
November 2024
Department of Emergency Medicine, Faculty of Medicine, Thammasat University, 99/209 Phahon Yothin Road, Klong Luang District, Pathum Thani, 12120, Thailand.
Article Synopsis
- The study compares video-assisted laryngoscopy (VL) and direct laryngoscopy (DL) for emergency tracheal intubation in the ED, highlighting the need for better airway management due to high failure rates.
- It analyzed data from 3,424 patients, finding no significant difference in overall intubation success rates, but VL showed fewer peri-intubation adverse events (33% vs. 40%).
- While DL had a higher first-attempt success rate among experienced intubators, both methods are effective, emphasizing that the choice of technique and experience significantly impacts outcomes.
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