Tracheal intubation and ventilatory support are among the important treatments in patients infected with COVID-19 with acute respiratory distress syndrome (ARDS) and severe hypoxia. The intubating team often uses video-assisted intubation equipment to ensure a safe and successful tracheal intubation. In this case report, we demonstrate for the first time, the use of the Shikani video-assisted intubating stylet and the Shikani intubating technique as a safe, speedy, and effective way to intubate a critically ill and highly contagious COVID-19 patient. In addition to the conventional consensus guidelines that are currently available for good practice (such as the proper use of personal protection equipment, etc.), we demonstrated that using the Shikani video-assisted intubating stylet is a reliable and proficient technique that is easy to learn while minimizing the risk of COVID-19 exposure of the airway personnel.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871715 | PMC |
| http://dx.doi.org/10.3390/healthcare10020388 | DOI Listing |
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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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