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-/

This is the right view with a Glidescope

This is the right view with a Glidescope

This is a view with the Glidescope positioned too close

This is a view with the Glidescope positioned too close

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: 

This shows the potential difficulty passing a tube around the corner. 

This shows the potential difficulty passing a tube around the corner. 





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. 

 

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