Annals of Emergency Medicine
Volume 57, Issue 3 , Pages 240-247 , March 2011

The Complexities of Tracheal Intubation With Direct Laryngoscopy and Alternative Intubation Devices

  • Richard M. Levitan, MD

      Affiliations

    • Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, PA
    • Corresponding Author InformationAddress for correspondence: Richard M. Levitan, MD, Thomas Jefferson University Hospital, 11th & Walnut Street T239, Philadelphia, PA 19107; 215-955-6844
    • ,
  • James W. Heitz, MD

      Affiliations

    • Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, PA
    • ,
  • Michael Sweeney, CRNP

      Affiliations

    • Pottstown Memorial Medical Center, Pottstown, PA
    • ,
  • Richard M. Cooper, MD

      Affiliations

    • University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada

Received 15 March 2010 ,Revised 26 April 2010 ,Accepted 25 May 2010.

References 

  1. Levitan RM, Pisaturo JT, Kinkle WC, et al. Stylet bend angles and tracheal tube passage using a straight-to-cuff shape. Acad Emerg Med. 2006;13:1255–1258
  2. Cooper RM, Pacey JA, Bishop MJ, et al. Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth. 2005;52:191–198
  3. Bader SO, Heitz JW, Audu PB. Tracheal intubation with the GlidesScope videolaryngoscope, using a “J” shaped endotracheal tube. Can J Anaesth. 2006;53:634–635
  4. Maassen R, Lee R, Hermans B, et al. A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg. 2009;109:1560–1565
  5. Cooper RM. Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth. 2007;54:54–57
  6. Williams D, Ball DR. Palatal perforation associated with McGrath videolaryngoscope. Anaesthesia. 2009;64:1144–1145
  7. Dhonneur G, Abdi W, Amathieu R, et al. Optimising tracheal intubation success rate using the Airtraq laryngoscope. Anaesthesia. 2009;64:315–319
  8. Beckmann LA, Edwards MJ, Greenland KB. Differences in two new rigid indirect laryngoscopes. Anaesthesia. 2008;63:1385–1386
  9. Suzuki A, Abe N, Sasakawa T, et al. Pentax-AWS (Airway Scope) and Airtraq: big difference between two similar devices. J Anesth. 2008;22:191–192
  10. Dimitriou VK, Zogogiannis ID, Douma AK, et al. Comparison of standard polyvinyl chloride tracheal tubes and straight reinforced tracheal tubes for tracheal intubation through different sizes of the Airtraq laryngoscope in anesthetized and paralyzed patients: a randomized prospective study. Anesthesiology. 2009;111:1265–1270
  11. Walker L, Brampton W, Halai M, et al. Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists. Br J Anaesth. 2009;103:440–445
  12. Heitz JW, Mastrando D. The use of a gum elastic bougie in combination with a videolaryngoscope [letter]. J Clin Anesth. 2005;17:408–409
  13. Budde AO, Pott LM. Endotracheal tube as a guide for an Eschmann gum elastic bougie to aid tracheal intubation using the McGrath or GlideScope videolaryngoscopes. J Clin Anesth. 2008;20:560
  14. Walls RM, Samuels-Kalow M, Perkins A. A new maneuver for endotracheal tube insertion during difficult GlideScope intubation. J Emerg Med. 2010 Jan 23;[Epub ahead of print]
  15. Dow WA, Parsons DG. “Reverse loading” to facilitate GlideScope intubation. Can J Anesth. 2007;54:161–162

 Supervising editor: Kathy J. Rinnert, MD, MPH

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. The manufacturers of the devices provided Dr. Levitan with the devices. Dr. Levitan is a principal in Airway Cam Technologies, Inc., Wayne, PA, which sells a variety of airway management products, including laryngoscopes, endotracheal tubes, and rescue devices. Airway Cam is a distributor of the AirTraq Optical Laryngoscope and Parker endotracheal tubes mentioned in this article. Dr. Cooper is a consultant for Verathon, manufacturer of the GlideScope Video Laryngoscope.

 Publication date: Available online July 31, 2010.

 Reprints not available from the authors.

 A podcast for this article is available at www.annemergmed.com.

PII: S0196-0644(10)00560-3

doi: 10.1016/j.annemergmed.2010.05.035

Annals of Emergency Medicine
Volume 57, Issue 3 , Pages 240-247 , March 2011

Article Tools

* Image Usage & Resolution