Moving towards videolaryngoscopy handling as first option in difficult airway management?

Authors

  • Juan José Correa Barrera Residente de 4º año Anestesia y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid. https://orcid.org/0000-0003-2060-2706
  • Mónica San Juan Álvarez FEA. Unidad de Anestesia y Reanimación Hospital Universitario Severo Ochoa. Leganés, Madrid.
  • Blanca Gómez Del Pulgar Vázquez MIR Anestesia y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid.
  • Gholamian Ovejero Soraya MIR Anestesia y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid.

DOI:

https://doi.org/10.30445/rear.v12i7.821

Keywords:

videolaryngocope, algorithm, airway, predictors, difficult intubation

Abstract

Determining the predictors of a difficult airway is a challenge for the anesthesiologist. Most current guides place videolaryngoscopes as recue elements of a failed airway, after an optimal traditional laryngoscopy. Establishing an algorithm which, based on physical charcteristics, allows to determine which patients will benefit from the use of videolaryngoscopy as a first option, may lead to a potential advantage and a net decrease in airway related problems. On the other hand, establishing which of those factors predict in a more reliable way a difficulty with the videolaryngoscopy, will contribute to make better plans of approach as well as an optimal decision making on a difficult airway. This algorithm has been able to achieve tracheal intubation of all patients for which a difficult laryngoscopy is expected.

References

- Frova G, Sorbello M. Algorithms for dificult airway management: a review. Minerva Anestesiol 2009;75(4):201-9.

- L. Apfelbaum, C.A. Hagberg, R.A. Caplan, C.D. Blitt, R.T. Connis, D.G. Nickinovitch, et al. Updated by the Committee on Standards and Practice Parameters; previous update was developed by the American Society of Anesthesiologists Task Force on Difficult Airway Management. 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 Feb;118(2):251-70.

- Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists task force on management of the difficult airwayAnesthesiology 2003, 98 (5): 1269-1277.

- Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 2005; 103(2): 429-437.

- Jungbauer A, Schumann M, Brunkhorst V, Börgers A, Groeben H. Expected difficult tracheal intubation: A prospective comparison of direct laryngoscopy in 200 patients. Br J Anaesth 2009; 102(4):546- 50.

- Neyrinck A. Management of the anticipated and unanticipated difficult airway in anesthesia outside the operating room. Curr Opin Anaesthesiol. 2013 Aug;26(4):481-8.

- J.B. Paolini, F. Donati, P. DroletReview article: Video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management?. Can J Anaesth. 2013 Feb;60(2):184-91.

Published

2020-08-21

How to Cite

Barrera, J. J. C., Álvarez, M. S. J., Vázquez, B. G. D. P., & Soraya, G. O. (2020). Moving towards videolaryngoscopy handling as first option in difficult airway management?. Revista Electrónica AnestesiaR, 12(7), 1. https://doi.org/10.30445/rear.v12i7.821

Issue

Section

Critical reviews of articles