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Videolaryngoscopes
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Videolaryngoscopes (VL)
Learning points
Outside of the operating room, videolaryngoscopes were associated with more arterial hypotension in emergency intubations.
Advantages of videolaryngoscopes have been well documented.
Adoption by institutions of conversion from direct laryngoscopy to universal use of videolaryngoscopes is likely the future, although financial, cultural and attitude challenges will need to be considered.
Adoption of a standardised protocol combining videolarynoscopy with a bougie for RSI led to significant increased intubation success rate in an anaesthetist-led prehospital team.
References
Lewis S.R. et al., Videolaryngoscopy versus direct laryngoscopy for adult patients requiring trachel intubation: a Cochrane Systematic Review British Journal of Anaesthesia Sept 2017 119 (3): p. 369-383
Lucas D.N., Vaughan D.J.A., Videolaryngoscopy and obstetric anaesthesia British Journal of Anaesthesia Aug 2017 p 549
Marathe S., Poncia R., Kasivivanathan R., The paradox in the current use of videolaryngoscopes in the UK British Journal of Anaesthesia Oct 2017 119 (4): p. 841-842
Kelly F.E., Cook T.M., Routine videolaryngoscopy is likely to improve skills needed to use a videolaryngoscope when laryngoscopy is difficult British Journal of Anaesthesia Oct 2017 119 (4): p. 842-843
Cooper R.M., Implementing universal videolaryngoscopy: how to do it and what to expect. British Journal of Anaesthesia Jan 2018 120 (1): p 13-15
Cook et al., Universal videolaryngoscopy: a structured approach to conversion to videolaryngoscopy for all intubations in an anaesthetic and intensive care department. British Journal of Anaesthesia Jan 2018 120 (1): p 173-180
Cook T.M., Strategies for the prevention of airway complications – a narrative review. Anaesthesia Dec 2017, 73(1)
Arulkumaran N. et al., Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis. British Journal of Anaesthesia 120 (4): p 712-724
Angerman S., Kirves H., Nurmi J., A before-and-after observational study of a protocol for use of the C-MAC videolaryngoscope with a Frova introducer in pre-hospital rapid sequence intubation. Anaesthesia Jan 2018 73 (3)
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