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Chapter 17 - Videolaryngoscopy

from Section 1 - Airway Management: Background and Techniques

Published online by Cambridge University Press:  03 October 2020

Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
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Summary

Videolaryngoscopes have been in existence for several decades but in the last decade have taken a central role in both difficult and routine airway management. During that time videolaryngoscopy has not only become embedded in most difficult airway algorithms but the technique has become part of core airway management skills and the use of awake videolaryngoscopy has increased. This chapter describes the various types of videolaryngoscopes, their roles, strengths and limitations. Strategies to optimise use of Macintosh and hyperangulated devices are described as well as which adjuncts are best suited to their use. The issue of ‘can see, cannot intubate’ is discussed along with techniques to overcome it. The role of videolaryngoscopy outside the operating theatre, in critical care, in the emergency department and in pre-hospital care is discussed in this and other chapters.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Aziz, MF, Brambrink, AM, Healy, DW, et al. (2016). Success of intubation rescue techniques after failed direct laryngoscopy in adults. A retrospective comparative analysis from the Multicenter Perioperative Outcomes Group. Anesthesiology, 125, 656666.CrossRefGoogle ScholarPubMed
DeJong, A, Molinari, N, Conseil, M, et al. (2014). Videolaryngoscopy versus direct laryngoscopy for orotracheal intubation in the intensive care unit: a systematic review and meta-analysis. Intensive Care Medicine, 40, 629639.Google Scholar
Kelly, FE, Cook, TM. (2016). Seeing is believing: getting the best out of videolaryngoscopy. British Journal of Anaesthesia, 117(Suppl 1), i9i13.Google Scholar
Lewis, SR, Butler, AR, Parker, J, Cook, TM, Smith, AF. (2016). Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database of Systematic Reviews, 11, CD011136.Google Scholar
Pieters, BMA, Maas, EHA, Knape, JTA, van Zundert, AAJ. (2017). Videolaryngoscopy vs. direct laryngoscopy use by experienced anaesthetists in patients with known difficult airways: a systematic review and meta-analysis. Anaesthesia, 72, 15321541.CrossRefGoogle ScholarPubMed

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