Hello Airway Team,
Here is a short series on video (indirect) laryngoscopy. These things are awesome! Especially if your goal is to do fantastic epiglotoscopy and getting a great view of the larynx. If your goal is to actually pass a tube, they require a few more tricks. Ill review the basic use of the Glidescope and spend a little time going over the "tricks" to passing the tube that can make it much easier.
Pretest #6: Video laryngoscopy
- What are the relative indications and contraindications to Video Laryngoscopy?
- What does the evidence say about the potential advantages and disadvantages of Video Laryngoscopy?
- What are the 4 steps of using the Glidescope™ video laryngoscope?
- What are common difficulties encountered when using the Glidescope?
---for full clarity: click through to watch in Vimeo
Here is another view on the issues around video laryngoscopy
Here is a good article on the subject by Richard Levitan, in EP Monthly titled Four Secrets to video laryngoscopy: http://www.epmonthly.com/features/current-features/four-secrets-to-video-laryngoscopy-/
Glidescope, 4-step technique: http://www.youtube.com/watch?v=7jb2tbqQ6VQ from the manufacturer.
As usual, Dr Levitan has the best paper on the subject of Video Laryngoscopes titled: The Complexities of Tracheal Intubation With Direct Laryngoscopy and Alternative Intubation Devices, published in Annals of Emergency Medicine, in March 2011.
The most useful picture is this one:
Here is a little blog post from Minh Le Cong on PHARM titled "Learning from failed intubations – a study of 3 videos" There are some good tips when he reviews the video below.