New Developments in Endotracheal Intubation and Airway Management

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Critical Care".

Deadline for manuscript submissions: closed (1 February 2024) | Viewed by 4577

Special Issue Editors

Department of Anesthesiology and Intensive Therapy, Medical University of Lodz, 90-419 Lodz, Poland
Interests: airway management; anesthesiology
Special Issues, Collections and Topics in MDPI journals
Department of Anesthesia and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, 15006 A Coruña, Spain
Interests: anesthesiology; perioperative medicine; airway management

Special Issue Information

Dear Colleagues,

New devices and techniques of endotracheal intubation have been recently developed. These include new laryngoscopes, video laryngoscopes, and new supraglottic airway devices with increased seal and vision-guided systems. These devices increase safety and effectiveness in airway management. The new developments have generated the need for their clinical and experimental evaluation. I invite you to design, conduct, and publish studies on these new devices and techniques. This Special Issue is open to all ideas that could improve airway management and aims to make share them widely to the scientific world.

Prof. Dr. Tomasz M. Gaszyński
Dr. Manuel Ángel Gómez-Ríos
Guest Editors

Manuscript Submission Information

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Keywords

  • endotracheal intubation
  • airway management
  • supraglottic devices

Published Papers (3 papers)

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11 pages, 1737 KiB  
Article
Comparison of Three Video Laryngoscopes and Direct Laryngoscopy for Emergency Endotracheal Intubation While Wearing PPE-AGP: A Randomized, Crossover, Simulation Trial
by Przemysław Kluj, Anna Fedorczak, Michał Fedorczak, Tomasz Gaszyński, Cezary Kułak, Mikołaj Wasilewski, Mateusz Znyk, Maria Bartczak and Paweł Ratajczyk
Healthcare 2023, 11(6), 884; https://doi.org/10.3390/healthcare11060884 - 18 Mar 2023
Cited by 1 | Viewed by 1788
Abstract
Background: The COVID-19 pandemic has necessitated changes in the safety protocols of endotracheal intubation at every level of care. This study aimed to compare the first-pass success rates (FPS) and intubation times (IT) of three video laryngoscopes (VL) and direct laryngoscopy (DL) for [...] Read more.
Background: The COVID-19 pandemic has necessitated changes in the safety protocols of endotracheal intubation at every level of care. This study aimed to compare the first-pass success rates (FPS) and intubation times (IT) of three video laryngoscopes (VL) and direct laryngoscopy (DL) for simulated COVID-19 patient emergency intubation (EI). Methods: The study was a prospective, randomized, crossover trial. Fifty-three active paramedics performed endotracheal intubation with the I-viewTM VL, UESCOPE® VL, ProVu® VL and Macintosh direct laryngoscope (MAC) wearing personal protective equipment for aerosol-generating procedures (PPE-AGP) on a manikin with normal airway conditions. Results: The longest IT was noted when the UESCOPE® (29.4 s) and ProVu® (27.7 s) VL were used. The median IT for I-view was 17.4 s and for MAC DL 17.9 s. The FPS rates were 88.6%, 81.1%, 83.0% and 84.9%, respectively, for I-view, ProVu®, UESCOPE® and MAC DL. The difficulty of EI attempts showed a statistically significant difference between UESCOPE® and ProVu®. Conclusions: The intubation times performed by paramedics in PPE-AGP using UESCOPE® and ProVu® were significantly longer than those with the I-view and Macintosh laryngoscopes. The use of VL by prehospital providers in PPE did not result in more effective EI than the use of a Macintosh laryngoscope. Full article
(This article belongs to the Special Issue New Developments in Endotracheal Intubation and Airway Management)
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13 pages, 1280 KiB  
Article
Assessment of the Possibility of Using the Laryngoscopes Macintosh, McCoy, Miller, Intubrite, VieScope and I-View for Intubation in Simulated Out-of-Hospital Conditions by People without Clinical Experience: A Randomized Crossover Manikin Study
by Paweł Ratajczyk, Przemysław Kluj, Przemysław Dolder, Bartosz Szmyd and Tomasz Gaszyński
Healthcare 2023, 11(5), 661; https://doi.org/10.3390/healthcare11050661 - 23 Feb 2023
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Abstract
The aim of the study was to evaluate the laryngoscopes Macintosh, Miller, McCoy, Intubrite, VieScope and I-View in simulated out-of-hospital conditions when used by people without clinical experience, and to choose the one that, in the case of failure of the first intubation [...] Read more.
The aim of the study was to evaluate the laryngoscopes Macintosh, Miller, McCoy, Intubrite, VieScope and I-View in simulated out-of-hospital conditions when used by people without clinical experience, and to choose the one that, in the case of failure of the first intubation (FI), gives the highest probability of successful second (SI) or third (TI). For FI, the highest success rate (HSR) was observed for I-View and the lowest (LSR) for Macintosh (90% vs. 60%; p < 0.001); for SI, HSR was observed for I-View and LSR for Miller (95% vs. 66,7%; p < 0001); and for TI, HSR was observed for I-View and LSR for Miller, McCoy and VieScope (98.33% vs. 70%; p < 0.001). A significant shortening of intubation time between FI and TI was observed for Macintosh (38.95 (IQR: 30.1–47.025) vs. 32.4 (IQR: 29–39.175), p = 0.0132), McCoy (39.3 (IQR: 31.1–48.15) vs. 28.75 (IQR: 26.475–35.7), p < 0.001), Intubrite (26.4 (IQR: 21.4–32.3) vs. 20.7 (IQR: 18.3–24.45), p < 0.001), and I-View (21 (IQR: 17.375–25.1) vs. 18 (IQR: 15.95–20.5), p < 0.001). According to the respondents, the easiest laryngo- scopes to use were I-View and Intubrite, while the most difficult was Miller. The study shows that I-View and Intubrite are the most useful devices, combining high efficiency with a statistically significant reduction in time between successive attempts. Full article
(This article belongs to the Special Issue New Developments in Endotracheal Intubation and Airway Management)
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25 pages, 800 KiB  
Systematic Review
Clinically Preferred Videolaryngoscopes in Airway Management: An Updated Systematic Review
by Vikram Nedunchezhian, Ishvar Nedunchezhian and André Van Zundert
Healthcare 2023, 11(17), 2383; https://doi.org/10.3390/healthcare11172383 - 24 Aug 2023
Cited by 2 | Viewed by 928
Abstract
Videolaryngoscopes (VLs) have emerged as a safety net offering several advantages over direct laryngoscopy (DL). The aim of this study is to expand on our previous study conducted in 2016, to deduce which VL is most preferred by clinicians and to highlight any [...] Read more.
Videolaryngoscopes (VLs) have emerged as a safety net offering several advantages over direct laryngoscopy (DL). The aim of this study is to expand on our previous study conducted in 2016, to deduce which VL is most preferred by clinicians and to highlight any changes that may have occurred over the past 7 years. An extensive systematic literature review was performed on Medline, Embase, Web of Science, and Cochrane Central Database of Controlled Studies for articles published between September 2016 and January 2023. This review highlighted similar results to our study in 2016, with the CMAC being the most preferred for non-channelled laryngoscopes, closely followed by the GlideScope. For channelled videolaryngoscopes, the Pentax AWS was the most clinically preferred. This review also highlighted that there are minimal studies that compare the most-used VLs, and thus we suggest that future studies directly compare the most-used and -preferred VLs as well as the specific nature of blades to attain more useful results. Full article
(This article belongs to the Special Issue New Developments in Endotracheal Intubation and Airway Management)
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