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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.
An intubation technique using hyperangulated video laryngoscopy and a DuCanto suction catheter preloaded with a bougie: A case report with a video demonstration.
J Am Coll Emerg Physicians Open
August 2024
Department of Emergency Medicine UC Davis Health University of California, Davis Sacramento California USA.
Video laryngoscopy outperforms direct laryngoscopy for successful orotracheal intubation in the emergency department. When performing video laryngoscopy, emergency physicians may use a standard geometry blade or a hyperangulated blade. Hyperangulated video laryngoscopy is easier when using a rigid hyperangulated stylet instead of a standard malleable stylet.
View Article and Find Full Text PDFUnexpected Airway Collapse: A Rare Case of Spontaneous Postoperative Tracheobronchomalacia in the Absence of Identifiable Risk Factors.
Cureus
April 2024
Gynecologic Surgery, Gulf Women's Center for Health and Surgery, Englewood, USA.
We report the case of a 53-year-old female who developed tracheobronchomalacia immediately following an uncomplicated robotic hysterectomy with bilateral salpingo-oophorectomy to treat postmenopausal bleeding. Induction of anesthesia was notable for moderately difficult intubation, managed with applied cricothyroid pressure and a small 6.5 endotracheal tube placement via GlideScope.
View Article and Find Full Text PDFEarly experience in use of videolaryngoscopy by a neonatal pre-hospital and retrieval service.
Emerg Med Australas
June 2024
South Australian Ambulance Service MedSTAR, Adelaide, South Australia, Australia.
Objective: To describe initial experience with use of the Glidescope Go videolaryngoscope by an Australian neonatal pre-hospital and retrieval service.
Methods: We conducted a 31-month retrospective review of an airway registry for neonates intubated by MedSTAR Kids clinicians.
Results: Twenty-two patients were intubated using the Glidescope Go, compared with 50 using direct laryngoscopy.
Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial.
Anaesthesia
June 2024
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Hyperangulated videolaryngoscopes are known to increase the success rate of tracheal intubation in the setting of difficult airway management when used with a stylet or bougie. However, there is controversy over which adjunct is more useful. This randomised study aimed to compare first attempt tracheal intubation success rate between a stylet and bougie when using a hyperangulated videolaryngoscope.
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