Laryngoscopy

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Steven C Hall - One of the best experts on this subject based on the ideXlab platform.

  • comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants <24 mo of age scheduled for elective surgery were randomly divided into two equal groups. After inhalation induction of anaesthesia, in 20 infants the trachea was intubated using direct rigid Laryngoscopy, and in 20 using the ultrathin fibreoptic laryngoscope (size 1.8 mm OD) Olympus LFP. Time to successful intubation was recorded, as well as blood pressure, heart rate, end-tidal CO2 and oxygen saturation. Airway trauma in the operating room, the post-anaesthesia care unit, and on the first postoperative day was recorded. The intubation times using rigid Laryngoscopy were less than those using fibreoptic Laryngoscopy (13.6 ± 0.9 sec (mean ± SEM) vs 22.8 ± 1.7 sec; P < 0.01). Oxygen saturation and end-tidal CO2 readings were not different between the two groups. After intubation, blood pressure and heart rate increased equally in both groups, returning to normal within one to two minutes. There was no difference in the airway trauma between groups. We conclude that the ultrathin fibreoptic laryngoscope is a safe and effective method for tracheal intubation in infants and may be used routinely in order to maintain fibreoptic airway skills.

  • Comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants.
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants

Andrew G. Roth - One of the best experts on this subject based on the ideXlab platform.

  • comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants <24 mo of age scheduled for elective surgery were randomly divided into two equal groups. After inhalation induction of anaesthesia, in 20 infants the trachea was intubated using direct rigid Laryngoscopy, and in 20 using the ultrathin fibreoptic laryngoscope (size 1.8 mm OD) Olympus LFP. Time to successful intubation was recorded, as well as blood pressure, heart rate, end-tidal CO2 and oxygen saturation. Airway trauma in the operating room, the post-anaesthesia care unit, and on the first postoperative day was recorded. The intubation times using rigid Laryngoscopy were less than those using fibreoptic Laryngoscopy (13.6 ± 0.9 sec (mean ± SEM) vs 22.8 ± 1.7 sec; P < 0.01). Oxygen saturation and end-tidal CO2 readings were not different between the two groups. After intubation, blood pressure and heart rate increased equally in both groups, returning to normal within one to two minutes. There was no difference in the airway trauma between groups. We conclude that the ultrathin fibreoptic laryngoscope is a safe and effective method for tracheal intubation in infants and may be used routinely in order to maintain fibreoptic airway skills.

  • Comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants.
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants

Tim Piepho - One of the best experts on this subject based on the ideXlab platform.

  • evaluation of the mcgrath series 5 videolaryngoscope after failed direct Laryngoscopy
    Anaesthesia, 2010
    Co-Authors: Rüdiger R Noppens, Christian Werner, S. Möbus, Irene Schmidtmann, F Heid, Tim Piepho
    Abstract:

    Summary Unanticipated difficulties during tracheal intubation and failure to intubate are among the leading causes of anaesthesia-related morbidity and mortality. Using the technique of video Laryngoscopy, the alignment of the oral and pharyngeal axes to facilitate tracheal intubation is unnecessary. In this study we evaluated the McGrath® Series 5 videolaryngoscope for tracheal intubation in 61 patients who exhibited Cormack and Lehane grade 3 or 4 laryngoscopies with a Macintosh laryngoscope. Using the McGrath resulted in an improved glottic view, compared to Macintosh laryngoscope. Laryngoscopy was improved by one grade in 10%, by two grades in 80% and by three grades in 10% of cases (p < 0.0001). The success rate for intubation was 95% with the McGrath. These results suggest that the McGrath videolaryngoscope can be used with a high success rate to facilitate tracheal intubation in difficult intubation situations.

  • Evaluation of the McGrath® Series 5 videolaryngoscope after failed direct Laryngoscopy*
    Anaesthesia, 2010
    Co-Authors: Rüdiger R Noppens, Florian M Heid, Christian Werner, S. Möbus, Irene Schmidtmann, Tim Piepho
    Abstract:

    Summary Unanticipated difficulties during tracheal intubation and failure to intubate are among the leading causes of anaesthesia-related morbidity and mortality. Using the technique of video Laryngoscopy, the alignment of the oral and pharyngeal axes to facilitate tracheal intubation is unnecessary. In this study we evaluated the McGrath® Series 5 videolaryngoscope for tracheal intubation in 61 patients who exhibited Cormack and Lehane grade 3 or 4 laryngoscopies with a Macintosh laryngoscope. Using the McGrath resulted in an improved glottic view, compared to Macintosh laryngoscope. Laryngoscopy was improved by one grade in 10%, by two grades in 80% and by three grades in 10% of cases (p 

G W Stevenson - One of the best experts on this subject based on the ideXlab platform.

  • comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants <24 mo of age scheduled for elective surgery were randomly divided into two equal groups. After inhalation induction of anaesthesia, in 20 infants the trachea was intubated using direct rigid Laryngoscopy, and in 20 using the ultrathin fibreoptic laryngoscope (size 1.8 mm OD) Olympus LFP. Time to successful intubation was recorded, as well as blood pressure, heart rate, end-tidal CO2 and oxygen saturation. Airway trauma in the operating room, the post-anaesthesia care unit, and on the first postoperative day was recorded. The intubation times using rigid Laryngoscopy were less than those using fibreoptic Laryngoscopy (13.6 ± 0.9 sec (mean ± SEM) vs 22.8 ± 1.7 sec; P < 0.01). Oxygen saturation and end-tidal CO2 readings were not different between the two groups. After intubation, blood pressure and heart rate increased equally in both groups, returning to normal within one to two minutes. There was no difference in the airway trauma between groups. We conclude that the ultrathin fibreoptic laryngoscope is a safe and effective method for tracheal intubation in infants and may be used routinely in order to maintain fibreoptic airway skills.

  • Comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants.
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants

Melissa Wheeler - One of the best experts on this subject based on the ideXlab platform.

  • comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants <24 mo of age scheduled for elective surgery were randomly divided into two equal groups. After inhalation induction of anaesthesia, in 20 infants the trachea was intubated using direct rigid Laryngoscopy, and in 20 using the ultrathin fibreoptic laryngoscope (size 1.8 mm OD) Olympus LFP. Time to successful intubation was recorded, as well as blood pressure, heart rate, end-tidal CO2 and oxygen saturation. Airway trauma in the operating room, the post-anaesthesia care unit, and on the first postoperative day was recorded. The intubation times using rigid Laryngoscopy were less than those using fibreoptic Laryngoscopy (13.6 ± 0.9 sec (mean ± SEM) vs 22.8 ± 1.7 sec; P < 0.01). Oxygen saturation and end-tidal CO2 readings were not different between the two groups. After intubation, blood pressure and heart rate increased equally in both groups, returning to normal within one to two minutes. There was no difference in the airway trauma between groups. We conclude that the ultrathin fibreoptic laryngoscope is a safe and effective method for tracheal intubation in infants and may be used routinely in order to maintain fibreoptic airway skills.

  • Comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants.
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 1994
    Co-Authors: Andrew G. Roth, Melissa Wheeler, G W Stevenson, Steven C Hall
    Abstract:

    The flexible ultrathin fibreoptic laryngoscope allows placement of endotracheal tubes as small as 2.5 mm internal diameter. The purpose of this study was to document the safety and efficacy of intubation using an ultrathin fibreoptic laryngoscope. Proved safety and efficacy would justify the routine use of fibreoptic Laryngoscopy in normal infants to maintain skills needed for management of the difficult infant airway. In this prospective study, 40 infants