Should videolaryngoscopy be routinely used for airway management? An approach from different scenarios in medical practice

  • Cristian Camilo Becerra Gómez Anesthesia and Perioperative Medicine, Fundación Universitaria Sanitas. Bogotá, Colombia. https://orcid.org/0000-0001-8820-3117
  • Miguel Ángel Rojas Department of Anesthesia and Perioperative Medicine, Clínica Reina Sofía. Bogotá, Colombia.
Keywords: Videolaryngoscopy, Laryngoscopy, Airway management, Critical care, Intratracheal intubation, Anesthesiology

Abstract

During the past two decades, the videolaryngoscope (VDL) has become a valuable and effective tool for the management of the airway, not just in the realm of anesthesiology, but also in other medical specialties in clinical scenarios requiring tracheal intubation.  In countries such as the United States, this represents over 15 million cases in the operating room and 650,000 outside the OR.  The overall accumulated incidence of difficult airway is 6.8% events in routine practice and between 0.1 and 0.3 % of failed intubations, both associated with complications such as desaturation, airway injury, hemodynamic instability and death. Notwithstanding the fact that the VDL has proven advantages such as improved visualization of the glottis, higher first attempt success rates, and a shortened learning curve, most of the time its use is limited to rescue attempts or as a secondary option.  The objective of this article is to review the advantages and limitations of the VDL vs. the direct laryngoscope in a wide range of clinical settings, including the operating room, intensive care units, emergency departments, pediatrics, obstetrics, and Covid-19 to consider its routine use.

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How to Cite
1.
Becerra Gómez CC, Ángel Rojas M. Should videolaryngoscopy be routinely used for airway management? An approach from different scenarios in medical practice. Colomb. J. Anesthesiol. [Internet]. 2023 Aug. 24 [cited 2024 Feb. 23];52(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1084

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Published
2023-08-24
How to Cite
1.
Becerra Gómez CC, Ángel Rojas M. Should videolaryngoscopy be routinely used for airway management? An approach from different scenarios in medical practice. Colomb. J. Anesthesiol. [Internet]. 2023 Aug. 24 [cited 2024 Feb. 23];52(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1084
Section
Narrative review

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