Video No Better Than Direct Laryngoscopy for ICU Intubations Video No Better Than Direct Laryngoscopy for ICU Intubations
Video laryngoscopy did not improve first-pass orotracheal intubation rates in the intensive care unit (ICU) and was associated with higher rates of life-threatening complications, in a multicenter study in France.Reuters Health Information
Condition: Intubation Intervention: Procedure: Tracheal Intubation Sponsors: Chinese University of Hong Kong; Tuen Mun Hospital Not yet recruiting
Condition: Amyotrophic Lateral Sclerosis Intervention: Other: Transnasal Fiberoptic Laryngoscopy Sponsors: Tiina Maarit Andersen; University of Trás-os-Montes and Alto Douro; Universidade do Porto; Haukeland University Hospital Recruiting
Conclusion: The proposed method guarantees a robust and fast processing of laryngoscopic videos. Measurements of glottic angles and supraglottic index showed distinctive patterns in the provided clinical cases. Significance: The proposed automated and objective method extracts important temporal laryngeal movement information, which can be used to aid laryngeal closure diagnosis.
The ability to perform in-office vocal fold injections has been greatly enhanced by advances in videolaryngoscopy technology. With improved optics and thin, channeled flexible laryngoscopes, in-office laryngeal injections have expanded from vocal fold augmentation for glottic insufficiency, vocal cold immobility, and botulinum toxin injections for spasmodic dysphonia, to vocal fold steroid injections for benign vocal fold lesions and scars and various injections for neurogenic cough. Efficacy, approaches, post-procedure management, and common complications of in-office laryngeal injections are outlined and supporting evidence discussed.
We report a case of difficult endotracheal intubation in a patient with Treacher Collins syndrome. A sixteen-year-old female patient scheduled for general anesthesia had a displaced palatal tooth that interfered with laryngoscope insertion into the pharyngeal space. To address this problem, we successfully performed endotracheal intubation using a fiberscope while elevating the epiglottic vallecula using a King Vision™ video laryngoscope. A later operation was performed after tooth extraction without difficult laryngoscopy. Our experience stresses the importance of removing obstructions to laryngoscopic inspection pr...
Conditions: Vocal Fold Palsy; Dysphagia; Congenital Heart Disease in Children Interventions: Procedure: Flexible fiberoptic laryngoscopy; Procedure: Laryngeal ultrasonography Sponsor: Emory University Enrolling by invitation
This study assessed 108 intubations performed by 27 neonatologists. The use of video laryngoscopy improved the glottis visualization by 14% (95% confidence interval, 7.4–20%; p
CONCLUSIONS: The themes identified by neonatal-perinatal medicine (NPM) fellows as being the most beneficial in achieving proficiency in neonatal TI are categorized as "The 5 Ps." Careful review of these themes may be utilized to develop validated curriculums that enhance the teaching of TI and optimize the achievement of TI competency among NPM fellows. PMID: 30889585 [PubMed - as supplied by publisher]
Objectives: Severe hypoxemia is the most common serious adverse event during endotracheal intubation. Preoxygenation is performed routinely as a preventive measure. The relative efficacy of the various available preoxygenation devices is unclear. Here, our objective was to assess associations between preoxygenation devices and pulse oximetry values during endotracheal intubation. Design: Post hoc analysis of data from a multicenter randomized controlled superiority trial (McGrath Mac Videolaryngoscope Versus Macintosh Laryngoscope [MACMAN]) comparing videolaryngoscopy to Macintosh laryngoscopy for endotracheal intubat...
We read with great interest the article by Okamoto et al. who compared the tracheal intubation performance between video laryngoscopy (VL) and direct laryngoscopy (DL) in 3,360 patients with cardiac arrest in the emergency department (ED)1. Compared to DL, the authors of that study reported that the use of VL to facilitate tracheal intubation would lead to a higher success rate of first intubation attempt (70% vs. 78%, respectively; P