Video Laryngoscopy Equipment and Techniques

doi:10.1017/9781316658680.007

Chapter 7 - Video Laryngoscopy Equipment and Techniques

from Section 2 - Devices and Techniques to Manage the Abnormal Airway

Published online by Cambridge University Press: 10 September 2019

Agnes I. Hunyady ,

James Peyton ,

Sarah Lee and

Raymond Park

Edited by

Narasimhan Jagannathan and

John E. Fiadjoe

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Narasimhan Jagannathan: Affiliation:
Northwestern University Medical School, Illinois
John E. Fiadjoe: Affiliation:
Children’s Hospital of Philadelphia

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Summary

The term “video laryngoscopy” in its literal sense refers to the airway management technique whereby the larynx is visualized for intubation using a device that has a video camera at the tip of its blade. It is often used interchangeably with the term “indirect laryngoscopy”: visualization of the larynx without alignment of pharyngeal, laryngeal, and oral axes, using either “chip-on-tip technology” or a series of reflecting surfaces to look around the corner. The difference between the two terms is best appreciated by briefly looking at the history of laryngoscopy and the evolution of the devices used to facilitate it.

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Type: Chapter
Information: Management of the Difficult Pediatric Airway , pp. 69 - 89

DOI: https://doi.org/10.1017/9781316658680.007 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2019

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References

Karsli, C. Managing the Challenging Pediatric Airway: Continuing Professional Development. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2015; 62(9): 1000–16.Google Scholar

Pieters, BM, Eindhoven, GB, Acott, C, van Zundert, AA. Pioneers of Laryngoscopy: Indirect, Direct and Video Laryngoscopy. Anaesthesia and Intensive Care 2015; (43Suppl.): 4–11.Google Scholar

Borland, LM, Casselbrant, M. The Bullard Laryngoscope. A New Indirect Oral Laryngoscope (Pediatric Version). Anesthesia & Analgesia 1990; 70(1): 105–8.Google Scholar

Wu, TL, Chou, HC. A New Laryngoscope: the Combination Intubating Device. Anesthesiology 1994; 81(4): 1085–7.Google Scholar

Pearce, AC, Shaw, S, Macklin, S. Evaluation of the Upsherscope. A New Rigid Fibrescope. Anaesthesia 1996; 51(6): 561–4.CrossRef Google Scholar PubMed

Weiss, M, Schwarz, U, Dillier, CM, Gerber, AC. Teaching and Supervising Tracheal Intubation in Paediatric Patients Using Video Laryngoscopy. Paediatric Anaesthesia 2001; 11(3): 343–8.CrossRef Google Scholar

Cooper, RM. Use of a New Video Laryngoscope (GlideScope) in the Management of a Difficult Airway. Canadian Journal of Anaesthesia/Journal canadien d’anesthesie 2003; 50(6): 611–13.Google Scholar

Eisenberg, MA, Green-Hopkins, I, Werner, H, Nagler, J. Comparison between Direct and Video-Assisted Laryngoscopy for Intubations in a Pediatric Emergency Department. Academic Emergency Medicine 2016; 23(8): 870–7.Google Scholar

O’Shea, JE, Thio, M, Kamlin, CO, McGrory, L, Wong, C, John, J, et al. Video Laryngoscopy to Teach Neonatal Intubation: A Randomized Trial. Pediatrics 2015; 136(5): 912–19.Google Scholar

Yentis, SM, Lee, DJ. Evaluation of an Improved Scoring System for the Grading of Direct Laryngoscopy. Anaesthesia 1998; 53(11): 1041–4.Google Scholar

Levitan, RM, Ochroch, EA, Kush, S, Shofer, FS, Hollander, JE. Assessment of Airway Visualization: Validation of the Percentage of Glottic Opening (POGO) Scale. Academic Emergency Medicine 1998; 5(9): 919–23.CrossRef Google Scholar PubMed

Dow, WA, Parsons, DG. “Reverse Loading” to Facilitate Glidescope Intubation. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2007; 54(2): 161–2.Google Scholar

Radesic, BP, Winkelman, C, Einsporn, R, Kless, J. Ease of Intubation with the Parker Flex-Tip or a Standard Mallinckrodt Endotracheal Tube Using a Video. AANA Journal 2012; 80(5): 363–72.Google Scholar PubMed

Kim, JT, Na, HS, Bae, JY, Kim, DW, Kim, HS, Kim, CS, et al. GlideScope Video Laryngoscope: a Randomized Clinical Trial in 203 Paediatric Patients. British Journal of Anaesthesia 2008; 101(4): 531–4.CrossRef Google Scholar PubMed

Riveros, R, Sung, W, Sessler, DI, Sanchez, IP, Mendoza, ML, Mascha, EJ, et al. Comparison of the Truview PCD and the GlideScope Video Laryngoscopes with Direct Laryngoscopy in Pediatric Patients: a Randomized Trial. Canadian Journal of Anaesthesia/Journal canadien d’anesthesie 2013; 60(5): 450–7.Google Scholar PubMed

Sun, Y, Lu, Y, Huang, Y, Jiang, H. Pediatric Video Laryngoscope versus Direct Laryngoscope: a Meta-Analysis of Randomized Controlled Trials. Paediatric Anaesthesia 2014; 24(10): 1056–65.Google Scholar

Vadi, MG, Roddy, KJ, Ghazal, EA, Um, M, Neiheisel, AJ, Applegate, RL 2nd. Comparison of the GlideScope Cobalt and Storz DCI Video Laryngoscopes in Children Younger than 2 Years of Age during Manual In-Line Stabilization: a Randomized Trainee Evaluation Study. Pediatric Emergency Care 2017; 33(7): 467–73.Google Scholar

Vlatten, A, Aucoin, S, Litz, S, Macmanus, B, Soder, C. A Comparison of the STORZ Video Laryngoscope and Standard Direct Laryngoscopy for Intubation in the Pediatric Airway – a Randomized Clinical Trial. Paediatric Anaesthesia 2009; 19(11): 1102–7.Google Scholar

Inal, MT, Memis, D, Kargi, M, Oktay, Z, Sut, N. Comparison of TruView EVO2 with Miller Laryngoscope in Paediatric Patients. European Journal of Anaesthesiology 2010; 27(11): 950–4.CrossRef Google Scholar PubMed

Mutlak, H, Rolle, U, Rosskopf, W, Schalk, R, Zacharowski, K, Meininger, D, et al. Comparison of the TruView Infant EVO2 PCD and C-MAC Video Laryngoscopes with Direct Macintosh Laryngoscopy for Routine Tracheal Intubation in Infants with Normal Airways. Clinics (Sao Paulo) 2014; 69(1): 23–7.CrossRef Google Scholar PubMed

Armstrong, J, John, J, Karsli, C. A Comparison between the GlideScope Video Laryngoscope and Direct Laryngoscope in Paediatric Patients with Difficult Airways – a Pilot Study. Anaesthesia 2010; 65(4): 353–7.Google Scholar

Lee, JH, Park, YH, Byon, HJ, Han, WK, Kim, HS, Kim, CS, et al. A Comparative Trial of the GlideScope(R) Video Laryngoscope to Direct Laryngoscope in Children with Difficult Direct Laryngoscopy and an Evaluation of the Effect of Blade Size. Anesthesia & Analgesia 2013; 117(1): 176–81.Google Scholar

Fiadjoe, JE, Kovatsis, P. Video Laryngoscopes in Pediatric Anesthesia: What’s New? Minerva Anestesiologica 2014; 80(1): 76–82Google Scholar

Kalbhenn, J, Boelke, AK, Steinmann, D. Prospective Model-Based Comparison of Different Laryngoscopes for Difficult Intubation in Infants. Paediatric Anaesthesia 2012; 22(8): 776–80.Google Scholar

Komiya, K, Inagawa, G, Nakamura, K, Kikuchi, T, Fujimoto, J, Sugawara, Y, et al. A Simple Fibreoptic Assisted Laryngoscope for Paediatric Difficult Intubation: a Manikin Study. Anaesthesia 2009; 64(4): 425–9.Google Scholar

Nileshwar, A, Garg, V. Comparison of Bullard Laryngoscope and Short-Handled Macintosh Laryngoscope for Orotracheal Intubation in Pediatric Patients with Simulated Restriction of Cervical Spine Movements. Paediatric Anaesthesia 2010; 20(12): 1092–7.Google Scholar

Levitan, RM, Heitz, JW, Sweeney, M, Cooper, RM. The Complexities of Tracheal Intubation with Direct Laryngoscopy and Alternative Intubation Devices. Annals of Emergency Medicine 2011; 57(3): 240–7.Google Scholar

Fiadjoe, JE, Gurnaney, H, Dalesio, N, Sussman, E, Zhao, H, Zhang, X, et al. A Prospective Randomized Equivalence Trial of the GlideScope Cobalt Video Laryngoscope to Traditional Direct Laryngoscopy in Neonates and Infants. Anesthesiology 2012; 116(3): 622–8.Google Scholar

Milne, AD, Dower, AM, Hackmann, T. Airway Management Using the Pediatric GlideScope in a Child with Goldenhar Syndrome and Atypical Plasma Cholinesterase. Paediatric Anaesthesia 2007; 17(5): 484–7.Google Scholar

Redel, A, Karademir, F, Schlitterlau, A, Frommer, M, Scholtz, LU, Kranke, P, et al. Validation of the GlideScope Video Laryngoscope in Pediatric Patients. Paediatric Anaesthesia 2009; 19(7): 667–71.Google Scholar

Ilies, C, Fudickar, A, Thee, C, Dutschke, P, Hanss, R, Doerges, V, et al. Airway Management in Pediatric Patients Using the Glidescope Cobalt: a Feasibility Study. Minerva Anestesiologica 2012; 78(9): 1019–25.Google Scholar

Trevisanuto, D, Fornaro, E, Verghese, C. The GlideScope Video Laryngoscope: Initial Experience in Five Neonates. Canadian Journal of Anaesthesia/Journal canadien d’anesthesie 2006; 53(4): 423–4.Google Scholar

Hirabayashi, Y, Otsuka, Y. Apparent Blind Spot with the GlideScope Video Laryngoscope. British Journal of Anaesthesia 2009; 103(3): 461–2.Google Scholar

Lillie, EM, Harding, L, Thomas, M. A New Twist in the Pediatric Difficult Airway. Paediatric Anaesthesia 2015; 25(4): 428–30.Google Scholar

White, M, Weale, N, Nolan, J, Sale, S, Bayley, G. Comparison of the Cobalt Glidescope Video Laryngoscope with Conventional Laryngoscopy in Simulated Normal and Difficult Infant Airways. Paediatric Anaesthesia 2009; 19(11): 1108–12.Google Scholar

Rodriguez-Nunez, A, Oulego-Erroz, I, Perez-Gay, L, Cortinas-Diaz, J. Comparison of the GlideScope Video Laryngoscope to the Standard Macintosh for Intubation by Pediatric Residents In Simulated Child Airway Scenarios. Pediatric Emergency Care 2010; 26(10): 726–9.CrossRef Google Scholar

Iacovidou, N, Bassiakou, E, Stroumpoulis, K, Koudouna, E, Aroni, F, Papalois, A, et al. Conventional Direct Laryngoscopy versus Video Laryngoscopy with the GlideScope(R): a Neonatal Manikin Study with Inexperienced Intubators. American Journal of Perinatology 2011; 28(3): 201–6.Google Scholar

Hippard, HK, Kalyani, G, Olutoye, OA, Mann, DG, Watcha, MF. A Comparison of the Truview PCD and the GlideScope Cobalt AVL Video-Laryngoscopes to the Miller Blade for Successfully Intubating Manikins Simulating Normal and Difficult Pediatric Airways. Paediatric Anaesthesia 2016; 26(6): 613–20.Google Scholar

Fonte, M, Oulego-Erroz, I, Nadkarni, L, Sanchez-Santos, L, Iglesias-Vasquez, A, Rodriguez-Nunez, A. A Randomized Comparison of the GlideScope Video Laryngoscope to the Standard Laryngoscopy for Intubation by Pediatric Residents in Simulated Easy and Difficult Infant Airway Scenarios. Pediatric Emergency Care 2011; 27(5): 398–402.Google Scholar

Kim, HJ, Kim, JT, Kim, HS, Kim, CS, Kim, SD. A Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Nasotracheal Intubation in Children. Paediatric Anaesthesia 2011; 21(4): 417–21.Google Scholar

Fiadjoe, JE, Nishisaki, A, Jagannathan, N, Hunyady, AI, Greenberg, RS, Reynolds, PI, et al. Airway Management Complications in Children with Difficult Tracheal Intubation from the Pediatric Difficult Intubation (PeDI) Registry: a Prospective Cohort Analysis. The Lancet Respiratory Medicine 2016; 4(1): 37–48.CrossRef Google Scholar PubMed

Hirabayashi, Y, Otsuka, Y. Early Clinical Experience with GlideScope Video Laryngoscope in 20 Infants. Paediatric Anaesthesia 2009; 19(8): 802–4.Google Scholar

Muldowney, BL, Stephenson, LL, Volz, LM, Bilen-Rosas, G. Failed Airway Management with the GlideScope: It is Not the Same Tool in Infants. Journal of Clinical Anesthesia 2015; 27(6): 534–5.Google Scholar

Byun, SH, Lee, SY, Hong, SY, Ryu, T, Kim, BJ, Jung, JY. Use of the GlideScope Video Laryngoscope for Intubation during Ex Utero Intrapartum Treatment in a Fetus with a Giant Cyst of the 4th Branchial Cleft: a Case Report. Medicine (Baltimore) 2016; 95(39): e4931.Google Scholar

Holm-Knudsen, R. The Difficult Pediatric Airway – a Review of New Devices for Indirect Laryngoscopy in Children Younger than Two Years of Age. Paediatric Anaesthesia 2011; 21(2): 98–103.Google Scholar

Vlatten, A, Aucoin, S, Gray, A, Soder, C. Difficult Airway Management with the STORZ Video Laryngoscope in a Child with Robin Sequence. Paediatric Anaesthesia 2009; 19(7): 700–1.Google Scholar

Green-Hopkins, I, Werner, H, Monuteaux, MC, Nagler, J. Using Video-Recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children. Academic Emergency Medicine 2015; 22(11): 1283–9.Google Scholar

Oakes, ND, Dawar, A, Murphy, PC. Difficulties Using the C-MAC Paediatric Video Laryngoscope. Anaesthesia 2013; 68(6): 653–4.Google Scholar

Xue, FS, Tian, M, Liao, X, Xu, YC. Safe and Successful Intubation Using a Storz Video Laryngoscope in Management of Pediatric Difficult Airways. Paediatric Anaesthesia 2008; 18(12): 1251–2.Google Scholar

Xue, FS, Liao, X, Liu, JH, Zhang, YM. Comparison of the Intubation with the Storz Video Laryngoscope and Standard Direct Laryngoscopy in Pediatric Patients. Paediatric Anaesthesia 2009; 19(12): 1245–6.Google Scholar

Hackell, RS, Held, LD, Stricker, PA, Fiadjoe, JE. Management of the Difficult Infant Airway with the Storz Video Laryngoscope: a Case Series. Anesthesia & Analgesia 2009; 109(3): 763–6.Google Scholar

Fiadjoe, JE, Stricker, PA, Hackell, RS, Salam, A, Gurnaney, H, Rehman, MA, et al. The Efficacy of the Storz Miller 1 Video Laryngoscope in a Simulated Infant Difficult Intubation. Anesthesia & Analgesia 2009; 108 (6): 1783–6.Google Scholar

Saracoglu, KT, Eti, Z, Kavas, AD, Umuroglu, T. Straight Video Blades are Advantageous than Curved Blades in Simulated Pediatric Difficult Intubation. Paediatric Anaesthesia 2014; 24(3): 297–302.Google Scholar

Donoghue, AJ, Ades, AM, Nishisaki, A, Deutsch, ES. Video Laryngoscopy versus Direct Laryngoscopy in Simulated Pediatric Intubation. Annals of Emergency Medicine 2013; 61(3): 271–7.CrossRef Google Scholar PubMed

Wald, SH, Keyes, M, Brown, A. Pediatric Video Laryngoscope Rescue for a Difficult Neonatal Intubation. Paediatric Anaesthesia 2008; 18(8): 790–2.Google Scholar

Vanderhal, AL, Berci, G, Simmons, CF Jr., Hagiike, M. A Video Laryngoscopy Technique for the Intubation of the Newborn: Preliminary Report. Pediatrics 2009; 124(2): e339–46.Google Scholar

Moreira, A, Koele-Schmidt, L, Leland, M, Seidner, S, Blanco, C. Neonatal Intubation with Direct Laryngoscopy vs Video Laryngoscopy: an Extremely Premature Baboon Model. Paediatric Anaesthesia 2014; 24(8): 840–4.Google Scholar

Ross, M, Baxter, A. Use of the New McGrath MAC Size-1 Paediatric Video Laryngoscope. Anaesthesia 2015; 70(10): 1217–18.Google Scholar

Kim, EH, Lee, JH, Song, IK, Kim, JT, Kim, BR, Kim, HS. Effect of Head Position on Laryngeal Visualisation with the McGrath MAC Video Laryngoscope in Paediatric Patients: a Randomised Controlled Trial. European Journal of Anaesthesiology 2016; 33(7): 528–34.Google Scholar

Kim, Y, Kim, JE, Jeong, DH, Lee, J. Combined Use of a McGrath MAC Video Laryngoscope and Frova Intubating Introducer in a Patient with Pierre Robin Syndrome: a Case Report. Korean Journal of Anesthesiology 2014; 66(4): 310–13.Google Scholar

Singh, R, Singh, P, Vajifdar, H. A Comparison of Truview Infant EVO2 Laryngoscope with the Miller Blade in Neonates and Infants. Paediatric Anaesthesia 2009; 19(4): 338–42.Google Scholar

Szarpak, L, Truszewski, Z, Czyzewski, L, Gaszynski, T, Rodriguez-Nunez, A. A Comparison of the McGrath-MAC and Macintosh Laryngoscopes for Child Tracheal Intubation during Resuscitation by Paramedics. A Randomized, Crossover, Manikin Study. The American Journal of Emergency Medicine 2016; 34(8): 1338–41.Google Scholar

UEScope (2015). Website. https://www.uescope.com Google Scholar

Malik, MA, O’Donoghue, C, Carney, J, Maharaj, CH, Harte, BH, Laffey, JG. Comparison of the Glidescope, the Pentax AWS, and the Truview EVO2 with the Macintosh Laryngoscope in Experienced Anaesthetists: a Manikin Study. British Journal of Anaesthesia 2009; 102(1): 128–34Google Scholar

Hurford, DM, White, MC. A Comparison of the Glidescope and Karl Storz DCI Video Laryngoscopes in a Paediatric Manikin. Anaesthesia 2010; 65(8): 781–4.Google Scholar

Lees, M, Seal, RF, Spady, D, Csanyi-Fritz, Y, Robinson, JL. Randomized Trial of Success of Pediatric Anesthesiologists Learning to Use Two Video Laryngoscopes. Paediatric Anaesthesia 2013; 23(5): 435–9.Google Scholar

Greer, D, Marshall, KE, Bevans, S, Standlee, A, McAdams, P, Harsha, W. Review of Video Laryngoscopy Pharyngeal Wall Injuries. The Laryngoscope 2017; 127(2): 349–53.Google Scholar

Rodney, JD, Ahmed, Z, Gupta, D, Zestos, MM. Straight to Video: Tonsillar Injury during Elective GlideScope – Assisted Pediatric Intubation. Middle East Journal of Anaesthesiology 2015; 23(1): 101–4.Google Scholar

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