Tracheal intubation with a camera embedded in the tube tip (Vivasight™).

Autor: Huitink, J. M., Koopman, E. M., Bouwman, R. A., Craenen, A., Verwoert, M., Krage, R., Visser, I. E., Erwteman, M., Groeningen, D., Tijink, R., Schauer, A.
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Zdroj: Anaesthesia; Jan2013, Vol. 68 Issue 1, p74-78, 5p, 2 Color Photographs, 1 Chart
Abstrakt: We studied tracheal intubation in manikins and patients with a camera embedded in the tip of the tracheal tube (Vivasight). Four people in two teams and two individuals attempted intubation of a manikin through an i-gel 10 times each. The tracheas of 12 patients with a Mallampati grade of 1 were intubated with a Vivasight tracheal tube through a Berman airway, passed over a Frova introducer. All 60 manikin intubations were successful, taking a mean ( SD) time of 1.4 (0.5) s. The fastest intubation was performed in 0.5 s. All 12 participants' tracheas were successfully intubated in a median ( IQR [range]) time of 90 (70-120 [50-210]) s. Seven participants complained of a sore throat, comparable with earlier findings for standard laryngoscopy and intubation: five mild; one moderate; and one severe. Tracheal intubation with the Vivasight through the i-gel or Berman airway is an alternative to existing techniques, against which it should be compared in randomised controlled trials in human participants. It has potential as a fast airway rescue technique. [ABSTRACT FROM AUTHOR]
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