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viernes, 24 de febrero de 2017

Videolaringoscopios / videolaryngoscopes

Febrero 24, 2017. No. 2610

Laringoscopios McGrath serie 5 vs vídeolaringoscopia Airtraq DL para intubación con tubo de doble lumen. Estudio randomizado

McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation: A randomized trial.

Wan L1, Liao M, Li L, Qian W, Hu R, Chen K, Zhang C, Yao W.

Medicine (Baltimore). 2016 Dec;95(51):e5739. doi: 10.1097/MD.0000000000005739.

Abstract

BACKGROUND: Many studies have shown Airtraq videolaryngoscope provided faster tracheal intubation and a higher success rate than other videolaryngoscopes. Recently, different types of videolaryngoscopes have been reported for use in double-lumen tube (DLT) intubation. However, the advantages and disadvantages between them remain undetermined for DLT intubation. In this study, we compared the Airtraq DL videolaryngoscope with the McGrath Series 5 videolaryngoscope for DLT intubation by experienced anesthesiologists. CONCLUSIONS: When using videolaryngoscopes for DLT intubation, the Airtraq DL is superior to the McGrath Series 5 in intubation time, but it does not decrease intubation difficulty.

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Comparación de la visión glótica durante la video-intubación en pacientes super obesos: una serie de casos.

Comparison of the glottic view during video-intubation in super obese patients: a series of cases.

Gaszyński T1.

Ther Clin Risk Manag. 2016 Nov 11;12:1677-1682. eCollection 2016.

Abstract

Videolaryngoscopes improve the view of the entry to the larynx in morbidly obese patients. Super obesity is one of the risk factors for difficult mask ventilation as well as difficult intubation. Super obese patients should be intubated awake either with a fiber-optic scope or with a videolaryngoscope. The glottic view during video-intubation in super obese patients using different devices was compared. The McGrath MAC (MGM) was used in all patients and then compared to the King Vision (KV) in three patients, the APA videolaryngoscope in two patients and the Airtraq Avant with a video camera in four patients. The pictures were of the same patient for two used devices. All obtained images were analyzed using the Percentage of Glottic Opening (POGO) scale. The POGO score for the MGM was better than for the KV and the APA but comparable to the Airtraq device. The images were processed electronically, and the best view of the laryngeal inlet that was obtained by the evaluated devices in the same patient was superimposed onto the other one and then compared.

KEYWORDS: glottic visualization; intubation; super obese; videolaryngoscopes

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