Videolaryngoscopes: The solution for difficult airway management or just another strategy? Non-systematic review

  • Katheryne Chaparro-Mendoza Fundación Clínica Valle del Lili, Cali, Colombia
  • Carlos Andrés Luna-Montúfar Department of Anesthesia, Universidad del Valle, Hospital Universitario Evaristo García, Cali, Colombia
  • Juan Manuel Gómez a. Department of Anesthesia, Universidad del Valle, Cali, Colombia. b. Centro Médico Imbanaco, Cali, Colombia
Keywords: Videotape Recording, Laryngoscopy, Airway management, Intubation Intratracheal, Obesity, Anesthesia

Abstract

Introduction: Difficult airway management remains a challenge and is a pillar of anesthesia training. At present, unsuccessful management of the difficult airway is a leading cause of complications in the practice of anesthesia, something that has led to regular updates to the management algorithms and the development of new technologies.

Objectives: To review the current state of videolaryngoscopy and its impact on difficult airway management.

Methods: With the keywords Videotape Recording; Laryngoscopy; Airway Management; Intubation; Intratracheal; Obesity; Anesthesia. A non-systematic review in the following databases was conducted: Pubmed/Medline, SciElo, LILACS).

Results: Videolaryngoscopes are a new technology for the management of difficult airways that so far have not replaced the standard airway management algorithm devices. Its main impact is better visualization of the laryngeal structures. However, there are still controversies regarding the ease and success of tracheal intubation. Evidence of its usefulness in difficult airway management is weak.

Conclusion: Knowledge of these devices and their limitations is an alternative in difficult airway scenario, but its real value and safety for the patient is still not defined and continues to be researched.

References

1. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovitch DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists task force on management of the difficult airway. Anesthesiology. 2013;118:251-70.
2. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2003;98:1269-77 [Erratum in: Anesthesiology 2004;101(2):565 .
3. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004;59:675-94.
4. Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, et al. The unanticipated difficult airway with recommendations for management. Can J Anaesth. 1998;45:757-76.
5. Benumof JL. Management of the difficult adult airway with special emphasis on awake tracheal intubation. Anesthesiology. 1991;75:1087-110 [Review. Erratum in: Anesthesiology, 1993;78:224 .
6. Guzmán J, Videolaringoscopios. Rev Chil Anest. 2009;38:135-44.
7. Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010;54:1050-61.
8. Asai T. Videolaryngoscopes: do they truly have roles in difficult airways? Anesthesiology. 2012;116:515-7.
9. Pott LM, Murray WB. Review of video laryngoscopy and rigid fiberoptic laryngoscopy. Curr Opin Anaesthesiol. 2008;21:750-8.
10. Henderson JJ, Suzuki A. Rigid indirect laryngoscope insertion techniques. Anaesthesia. 2008;63:323-4.
11. Greenland KB, Segal R, Acott C, Edwards MJ, Teoh WH, Bradley WP. Observations on the assessment and optimal use of videolaryngoscopes. Anaesth Intensive Care. 2012;40:622-30.
12. Leviatan RM, Heitz JW, Sweeney M, Cooper RM. The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices. Ann Emerg Med. 2011;57:240-7.
13. Rai MR, Dering A, Verghese C. The Glidescope system: a clinical assessment of performance. Anaesthesia. 2005;60:60-4.
14. Sakles JC, Rodgers R, Keim SM. Optical and video laryngoscopes for emergency airway management. Intern Emerg Med. 2008;3:139-43.
15. Jones PM, Harle CC, Turkstra TP. The GlideScope Cobalt videolaryngoscope - a novel single-use device. Can J Anaesth. 2007;54:677-8.
16. Nakstad AR, Sandberg M. The GlideScope Ranger video laryngoscope can be useful in airway management of entrapped patients. Acta Anaesthesiol Scand. 2009;53:1257-61.
17. Stroumpoulis K, Pagoulatou A, Violari M, Ikonomou I, Kalantzi N, Kastrinaki K, et al. Videolaryngoscopy in the management of the difficult airway: a comparison with the Macintosh blade. Eur J Anaesthesiol. 2009;26:218-22.
18. Lai HY, Chen IH, Hwang FY, Lee Y. The use of the GlideScope for tracheal intubation in patients with ankylosing spondylitis. Br J Anaesth. 2006;97:419-22.
19. Griesdale DE, Liu D, Mckinney J, Choi PT. Glidescope video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2012;59:41-52.
20. Aziz MF, Healy D, Kheterpal S, Fu RF, Dilman D, Brambrink M. Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology. 2011;33:40-6.
21. Airway management products by kingsystems [Internet homepage. USA: King Systems; 2010. [updated 2014, consulted 2014 March]. Available from: http://www.owntheairway.com
22. Akihisa Y, Maruyama K, Koyama Y, Yamada R, Ogura A, Andoh T. Comparison of intubation performance between the King Vision and Macintosh laryngoscopes in novice personnel: a randomized, crossover manikin study. J Anesth. 2014;28:51-7.
23. Murphy LD, Kovacs GJ, Reardon PM, Law JA. Comparison of the king vision video laryngoscope with the macintosh laryngoscope. J Emerg Med. 2014;14:1-8.
24. Kaplan MB, Ward DS, Berci G. A new video laryngoscope - an aid to intubation and teaching. J Clin Anesth. 2002;14:620-6.
25. Kaplan MB, Hagberg CA, Wards DS, Brambrink A, Chhibber AK, Heidegger T, et al. Comparison of direct and video-assisted views of the larynx during routine intubation. J Clin Anesth. 2006;18:357-62.
26. Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology 2012;116:629-33.
27. Castañeda PM, Batllori M, Gomez-Ayechu M, Iza J, Unzué P, Martín MP. Airtraq optical laryngoscopy. An Sist Sanit Navar. 2009;32:75-83.
28. Amathieu R, Combes X, Abdi W, Housseini LE, Ezzoug A, Dinca A, et al. An algorithm for difficult airway management, modified for modern optical devices (Airtraq laryngoscope; LMA CTrachTM): a 2-year prospective validation in patients for elective abdominal, gynecologic, and thyroid surgery. Anesthesiology. 2011;114:25-33.
29. Noppens RR, Mobus S, Heid F, Schimidtmann I, Werner C, Piepho T. Evaluation of the McGrath Series 5 videolaryngoscope after failed direct laryngoscopy. Anaesthesia. 2010;65:716-20.
30. Frohlich S, Borovickova L, Foley E, O'Sullivan E. A comparison of tracheal intubation using the McGrath or the Macintosh laryngoscopes in routine airway management. Eur J Anaesthesiol. 2011;28:465-7.
31. Harberg C. Benumofs Airway Management. 2nd ed. Philadelphia: MOSBY ELSEVIER; 2007, ISBN 978-0-323-02233-0. p. 558.
32. The Virtual Airway Device Intubation techniques and tutorials [Internet homepage. Florida: University of Florida; 2006. [updated 2011, consulted 2013]. Available from: http://vam.anest.ufl.edu/airwaydevice/bullard/index.html
33. Watts AD, Gelb AW, Bach DB, Pelz DM. Comparison of the Bullard and Macintosh laryngoscopes for endotracheal intubation of patients with a potential cervical spine injury. Anesthesiology. 1997;87:1335-1342.
34. Nileshwar A, Thudamaladinne A. Comparison of intubating laryngeal mask airway and Bullard laryngoscope for oro-tracheal intubation in adult patients with simulated limitation of cervical movements. Br J Anaesth. 2007;99:292-6.
35. MacQuarrie K, Hung OR, Law JA. Tracheal intubation using Bullard laryngoscope for patients with a simulated difficult airway. Can J Anaesth. 1999;46:760-5.
36. Cook TM. A new practical classification of laryngeal view. Anaesthesia. 2000;55:274-9.
37. Xue FS, Liao X, Liu JH. Comparative performance of direct and video laryngoscopes in patients with predicted difficult airway. Anesthesiology. 2012;117:911-25.
38. Mihai R, Blair E, Kay H, Cook TM. A quantitative review and meta-analysis of performance of non-standard laryngoscopes and rigid fibreoptic intubation aids. Anaesthesia. 2008;63:745-60.
39. Galán JC, Charco P, Sadarangani A. Inducción inhalatoria y anestesia tópica de la vía aérea guiada por videolaringoscopio C-MAC pala d-Blade en un paciente con miastenia gravis y vía aérea difícil. Rev Colomb Anestesiol. 2013;41:287-90.
40. Healy DW, Maties O, Hovord D, Kheterpal S. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol. 2012;12:32.
41. Corso RM, Piraccini E, Agnoletti, Gambale G. Comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation: some clarification needed. Eur J Anaesthesiol. 2012;29:495-8.
42. Grisaldale DE, Liu D, McKinney J, Choi PT. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2012;59:41-52.
43. Kory P, Guevarra K, Mathew JP, Hegde A, Mayo PH. The impact of video laryngoscopy use during urgent endotracheal intubation in the critically 1ll. Anesth Analg. 2013;117:144-9.
44. Maruyama K, Yamada T, Kawakami R, Kamata T, Yokochi M, Hara K. Upper cervical spine movement during intubation: fluoroscopic comparison of the AirWay Scope McCoy laryngoscope, and Macintosh laryngoscope. Br J Anaesth. 2008;100:120-4.
45. Aziz M. Use of video-assisted intubation devices in the management of patients with trauma. Anesthesiol Clin. 2013;31:157-66.
46. Juvin P, Lavaut E, Dupont H, Demetriou M, Dumoulin JL, Desmont JM. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97:595-600.
47. Bathory I, Granges JC, Frascarolo P, Magnusson L. Evaluation of the Video Intubation Unit in morbid obese patients. Acta Anaesthesiol Scand. 2010;54:55-8.
48. Marrel J, Blanc C, Frascarolo P, Magnusson L. Videolaryngoscopy improves intubation condition in morbidly obese patients. Eur J Anaesthesiol. 2007;24:1045-9.
49. Cooper RM, Pacey JA, Bishop MJ, McCluskey SA. Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth. 2005;52:191-8.
50. Tvede MF, Kristensen MS, Nyhus-Andreasen M. A cost analysis of reusable and disposable flexible optical scopes for intubation. Acta Anaesthesiol Scand. 2012;56:577-84.
51. Paolini JB, Donati F, Drolet P. Review article: video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management? J Can Anesth. 2013;60:184-91.
How to Cite
1.
Chaparro-Mendoza K, Luna-Montúfar CA, Gómez JM. Videolaryngoscopes: The solution for difficult airway management or just another strategy? Non-systematic review. Colomb. J. Anesthesiol. [Internet]. 2015Jul.1 [cited 2021Dec.5];43(3):225-33. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/172

Downloads

Download data is not yet available.
Published
2015-07-01
How to Cite
1.
Chaparro-Mendoza K, Luna-Montúfar CA, Gómez JM. Videolaryngoscopes: The solution for difficult airway management or just another strategy? Non-systematic review. Colomb. J. Anesthesiol. [Internet]. 2015Jul.1 [cited 2021Dec.5];43(3):225-33. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/172
Section
Narrative review

More on this topic