scholarly journals Combined Video Laryngoscope and Fiberoptic Nasal Intubation

Cureus ◽  
2021 ◽  
Author(s):  
Stacey M Nedrud ◽  
Douglas G Baasch ◽  
John D Cabral ◽  
Daniel S McEwen ◽  
Jayanth Dasika
Keyword(s):  
Video Laryngoscope ◽  
Nasal Intubation

scholarly journals Video Laryngoscope Assisted Awake Nasal Intubation with Restricted Mouth Opening in an Operated Radical Neck Dissection Patient

2021 ◽  
Author(s):  
Tejash Hariduttbhai Sharma ◽  
Avani Prafulchandra Vayeda ◽  
Malini K Mehta ◽  
Dinesh K Chauhan
Keyword(s):  
Radical Neck Dissection ◽  
Mouth Opening ◽  
Upper Airway ◽  
Anaesthetic Management ◽  
Video Laryngoscope ◽  
Nasal Intubation ◽  
Forehead Flap ◽  
Flap Surgery ◽  
Neck Extension ◽  
Surgery Patient

Naso-Endotracheal Intubation (NEI) for anaesthesia in oral and maxillofacial surgeries are difficult in case of oral mass, micrognathia, restricted mouth opening, pathological anatomy of upper airway and restricted neck extension. This case report presents the clinical and anaesthetic management for a 46-year-old male patient recently operated for left buccal mucosa squamous cell carcinoma with restricted mouth opening of 1.5 cm, a big rent of 4×5 cm on left cheek and restricted neck extension and flexion scheduled for forehead flap surgery. Patient was intubated with non-channeled Video Laryngoscope (VLS) assisted awake nasal intubation.

scholarly journals Checking the integrity of eyes in prone position: A novel application of video laryngoscopes

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110158
Author(s):  
Daniel Gerber ◽  
Balthasar Eberle ◽  
Gabor Erdoes
Keyword(s):  
Patient Outcome ◽  
Vascular Surgery ◽  
Prone Position ◽  
Visual Loss ◽  
Video Laryngoscope ◽  
Severe Complication ◽  
Simple Solution ◽  
Additional Material ◽  
Perioperative Visual Loss ◽  
Improve Patient

Perioperative visual loss is a rare but severe complication after surgery in prone position. One of several mechanisms is direct ophthalmic compression. This can be avoided through optimal positioning and padding of the head, but position and integrity of the eyes need to be checked at regular intervals. We describe the use of a conventional video laryngoscope during vascular surgery in prone position as a simple solution for intermittent monitoring of external integrity of the eyes and size of the pupils. This requires no additional material and allows documentation of the findings. Our method might reduce complications and improve patient outcome.

scholarly journals Analysis of tracheal intubation in out-of-hospital helicopter emergency medicine recorded by video laryngoscopy

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Jürgen Knapp ◽  
Bettina Eberle ◽  
Michael Bernhard ◽  
Lorenz Theiler ◽  
Urs Pietsch ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Quality Control ◽  
Tracheal Intubation ◽  
Airway Management ◽  
Success Rate ◽  
Video Laryngoscope ◽  
Solar Irradiation ◽  
Video Laryngoscopy ◽  
Trauma Patients ◽  
Intubation Success

Abstract Background Tracheal intubation remains the gold standard of airway management in emergency medicine and maximizing safety, intubation success, and especially first-pass intubation success (FPS) in these situations is imperative. Methods We conducted a prospective observational study on all 12 helicopter emergency medical service (HEMS) bases of the Swiss Air Rescue, between February 15, 2018, and February 14, 2019. All 428 patients on whom out-of-hospital advanced airway management was performed by the HEMS crew were included. The C-MAC video laryngoscope was used as the primary device for tracheal intubation. Intubation procedures were recorded by the video laryngoscope and precise time points were recorded to verify the time necessary for each attempt and the overall procedure time until successful intubation. The videos were further analysed for problems and complications during airway management by an independent reviewer. Additionally, a questionnaire about the intubation procedure, basic characteristics of the patient, circumstances, environmental factors, and the provider’s level of experience in airway management was filled out. Main outcome measures were FPS of tracheal intubation, overall success rate, overall intubation time, problems and complications of video laryngoscopy. Results FPS rate was 87.6% and overall success rate 98.6%. Success rates, overall time to intubation, and subjective difficulty were not associated to the providers’ expertise in airway management. In patients undergoing CPR FPS was 84.8%, in trauma patients 86.4% and in non-trauma patients 93.3%. FPS in patients with difficult airway characteristics, facial trauma/burns or obesity ranges between 87 and 89%. Performing airway management indoors or inside an ambulance resulted in a significantly higher FPS of 91.1% compared to outdoor locations (p < 0.001). Direct solar irradiation on the screen, fogging of the lens, and blood on the camera significantly impaired FPS. Several issues for further improvements in the use of video laryngoscopy in the out-of-hospital setting and for quality control in airway management were identified. Conclusion Airway management using the C-MAC video laryngoscope with Macintosh blade in a group of operators with mixed experience showed high FPS and overall rates of intubation success. Video recording emergency intubations may improve education and quality control.

Applied image processing techniques in video laryngoscope for occult tumor detection

2020 ◽  
Vol 55 ◽  
pp. 101633
Author(s):  
Chung-Feng Jeffrey Kuo ◽  
Yu-Ching Li ◽  
Wei-Han Weng ◽  
Kathya Belen Pinos Leon ◽  
Yueng-Hsiang Chu
Keyword(s):  
Image Processing ◽  
Tumor Detection ◽  
Video Laryngoscope ◽  
Image Processing Techniques ◽  
Occult Tumor ◽  
Processing Techniques
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