Videolaryngoscopes

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
  1. 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
  2. Lucas D.N., Vaughan D.J.A., Videolaryngoscopy and obstetric anaesthesia British Journal of Anaesthesia Aug 2017 p 549
  3. 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
  4. 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
  5. 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
  6. 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
  7. Cook T.M., Strategies for the prevention of airway complications – a narrative review. Anaesthesia Dec 2017, 73(1)
  8. 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
  9. 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)