Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-30T02:52:50.869Z Has data issue: false hasContentIssue false

Chapter 9 - Optical Stylet and Light-Guided Equipment and Techniques

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

Published online by Cambridge University Press:  10 September 2019

By
Rajeev Subramanyam  and
Mohamed Mahmoud
Edited by
Narasimhan Jagannathan  and
John E. Fiadjoe
Narasimhan Jagannathan
Affiliation:
Northwestern University Medical School, Illinois
John E. Fiadjoe
Affiliation:
Children’s Hospital of Philadelphia
Get access

Summary

Optical stylets are airway tools, which combine features of fiberoptic bronchoscopes and intubation stylets. These devices use fibers to transmit the image to an eyepiece or camera, which can be attached to the eyepiece for viewing on a monitor. Optical stylets are designed to be used independently, with laryngoscopes, or with SGA devices. There are wide variations in optical stylet length, malleability, and light sources. The common feature of these devises is their light source, which enables the stylet to be used as a lightwand, while the fiberoptic capability enables visualization of the laryngeal inlet.

Type
Chapter
Information
Management of the Difficult Pediatric Airway , pp. 103 - 111
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Shikani, AH. New “Seeing” Stylet-Scope and Method for the Management of the Difficult Airway. Otolaryngology – Head and Neck Surgery 1999; 120(1): 113–16.Google Scholar
Rudolph, C, Schlender, M. Clinical Experiences with Fiber Optic Intubation with the Bonfils Intubation Fiberscope. Anaesthesiologie und Reanimation 1996; 21(5): 127–30.Google Scholar
Halligan, M, Charters, P. A Clinical Evaluation of the Bonfils Intubation Fibrescope. Anaesthesia 2003; 58(11): 1087–91.Google Scholar
Xue, FS, Liu, HP, Guo, XL. Transillumination-Assisted Endotracheal Intubation with the Bonfils Fiberscope. European Journal of Anaesthesiology 2009; 26(3): 261–2.CrossRefGoogle ScholarPubMed
Gravenstein, D, Liem, EB, Bjoraker, DG. Alternative Management Techniques for the Difficult Airway: Optical Stylets. Current Opinion in Anaesthesiology 2004; 17(6): 495–8.Google Scholar
Katz, RL, Berci, G. The Optical Stylet – a New Intubation Technique for Adults and Children with Specific Reference to Teaching. Anesthesiology 1979; 51(3): 251–4.Google Scholar
Berci, G, Katz, R. Optical Stylet: an Aid to Intubation and Teaching. Annals of Otology, Rhinology, and Laryngology 1979; 88(Pt 1): 828–31.Google Scholar
Liem, EB, Bjoraker, DG, Gravenstein, D. New Options for Airway Management: Intubating Fibreoptic Stylets. British Journal of Anaesthesia 2003; 91(3): 408–18.Google Scholar
Bonfils, P. Difficult Intubation in Pierre-Robin Children, a New Method: the Retromolar Route. Der Anaesthesist 1983; 32(7): 363–7.Google Scholar
Bonfils, P. Nasal Contralateral Intubation: a New Technique with a Fiberoptic Instrument. Anaesthesist 1982; 31(7): 362–5.Google Scholar
Bein, B, Wortmann, F, Meybohm, P, Steinfath, M, Scholz, J, Dorges, V. Evaluation of the Pediatric Bonfils Fiberscope for Elective Endotracheal Intubation. Paediatric Anaesthesia 2008; 18(11): 1040–4.Google Scholar
Kaufmann, J, Laschat, M, Engelhardt, T, Hellmich, M, Wappler, F. Tracheal Intubation with the Bonfils Fiberscope in the Difficult Pediatric Airway: a Comparison with Fiberoptic Intubation. Paediatric Anaesthesia 2015; 25(4): 372–8.CrossRefGoogle ScholarPubMed
Bein, B, Yan, M, Tonner, PH, Scholz, J, Steinfath, M, Dorges, V. Tracheal Intubation Using the Bonfils Intubation Fibrescope after Failed Direct Laryngoscopy. Anaesthesia 2004; 59(12): 1207–9.Google Scholar
Kaufmann, J, Laschat, M, Hellmich, M, Wappler, F. A Randomized Controlled Comparison of the Bonfils Fiberscope and the GlideScope Cobalt AVL Video Laryngoscope for Visualization of the Larynx and Intubation of the Trachea in Infants and Small Children with Normal Airways. Paediatric Anaesthesia 2013; 23(10): 913–19.Google Scholar
Houston, G, Bourke, P, Wilson, G, Engelhardt, T. Bonfils Intubating Fibrescope in Normal Paediatric Airways. British Journal of Anaesthesia 2010; 105(4): 546–7.Google Scholar
Aucoin, S, Vlatten, A, Hackmann, T. Difficult Airway Management with the Bonfils Fiberscope in a Child with Hurler Syndrome. Paediatric Anaesthesia 2009; 19(4): 421–2.Google Scholar
Vlatten, A, Aucoin, S, Litz, S, MacManus, B, Soder, C. A Comparison of Bonfils Fiberscope-Assisted Laryngoscopy and Standard Direct Laryngoscopy in Simulated Difficult Pediatric Intubation: a Manikin Study. Paediatric Anaesthesia 2010; 20(6): 559–65.Google Scholar
Szarpak, L, Czyzewski, L, Kurowski, A. Can BONFILS Intubation Endoscope be an Alternative to Direct Laryngoscopy for Pediatric Tracheal Intubation during Resuscitation? American Journal of Emergency Medicine 2015; 33(2): 293–4.Google Scholar
Caruselli, M, Giretti, R, Pallotto, R, Rocchi, G, Carboni, L. Intubation Using a “Bonfils Fiberscope” in a Patient with Pfeiffer Syndrome. Journal of Bronchology and Interventional Pulmonology 2011; 18(4): 374–5.Google Scholar
Laschat, M, Kaufmann, J, Wappler, F. Management of a Difficult Airway in a Child with Partial Trisomy 1 Mosaic Using the Pediatric Bonfils Fiberscope. Paediatric Anaesthesia 2010; 20(2): 199–201.Google Scholar
Krishnan, PL, Thiessen, BH. Use of the Bonfils Intubating Fibrescope in a Baby with a Severely Compromised Airway. Paediatric Anaesthesia 2013; 23(7): 670–2.Google Scholar
Caruselli, M, Zannini, R, Giretti, R, Rocchi, G, Camilletti, G, Bechi, P, et al. Difficult Intubation in a Small for Gestational Age Newborn by Bonfils Fiberscope. Paediatric Anaesthesia 2008; 18(10): 990–1.Google Scholar
Phua, DS, Mah, CL, Wang, CF. The Shikani Optical Stylet as an Alternative to the GlideScope(R) Videolaryngoscope in Simulated Difficult Intubations – a Randomised Controlled Trial. Anaesthesia 2012; 67(4): 402–6.Google Scholar
Jansen, AH, Johnston, G. The Shikani Optical Stylet: a Useful Adjunct to Airway Management in a Neonate with Popliteal Pterygium Syndrome. Paediatric Anaesthesia 2008; 18(2): 188–90.Google Scholar
Pfitzner, L, Cooper, MG, Ho, D. The Shikani Seeing Stylet for Difficult Intubation in Children: Initial Experience. Anaesthesia and Intensive Care 2002; 30(4): 462–6.Google Scholar
Shukry, M, Hanson, RD, Koveleskie, JR, Ramadhyani, U. Management of the Difficult Pediatric Airway with Shikani Optical Stylet. Paediatric Anaesthesia 2005; 15(4): 342–5.Google Scholar
Kitamura, T, Yamada, Y, Du, HL, Hanaoka, K. Efficiency of a New Fiberoptic Stylet Scope in Tracheal Intubation. Anesthesiology 1999; 91(6): 1628–32.Google Scholar
Gravenstein, D, Melker, RJ, Lampotang, S. Clinical Assessment of a Plastic Optical Fiber Stylet for Human Tracheal Intubation. Anesthesiology 1999; 91(3): 648–53.Google Scholar
Yao, YT, Jia, NG, Li, CH, Zhang, YJ, Yin, YQ. Comparison of Endotracheal Intubation with the Shikani Optical Stylet Using the Left Molar Approach and Direct Laryngoscopy. Chinese Medical Journal 2008; 121(14): 1324–7.Google Scholar
Costa, F, Mattei, A, Massimiliano, C, Cataldo, R, Agro, FE. The Clarus Video System as a Useful Diagnostic Tool. Anaesthesia 2011; 66(2): 135–6.Google Scholar
Seo, H, Lee, G, Ha, SI, Song, JG. An Awake Double Lumen Endotracheal Tube Intubation Using the Clarus Video System in a Patient with an Epiglottic Cyst: a Case Report. Korean Journal of Anesthesiology 2014; 66(2): 157–9.Google Scholar
Lee, AR, Yang, S, Shin, YH, Kim, JA, Chung, IS, Cho, HS, et al. A Comparison of the BURP and Conventional and Modified Jaw Thrust Manoeuvres for Orotracheal Intubation Using the Clarus Video System. Anaesthesia 2013; 68(9): 931–7.Google Scholar
Kim, JK, Kim, JA, Kim, CS, Ahn, HJ, Yang, MK, Choi, SJ. Comparison of Tracheal Intubation with the Airway Scope or Clarus Video System in Patients with Cervical Collars. Anaesthesia 2011; 66(8): 694–8.Google Scholar
Cooney, DR, Cooney, NL, Wallus, H, Wojcik, S. Performance of Emergency Physicians Utilizing a Video-Assisted Semi-Rigid Fiberoptic Stylet for Intubation of a Difficult Airway in a High-Fidelity Simulated Patient: a Pilot Study. International Journal of Emergency Medicine 2012; 5(1): 24.Google Scholar
Cheng, WC, Lan, CH, Lai, HY. The Clarus Video System (Trachway) Intubating Stylet for Awake Intubation. Anaesthesia 2011; 66(12): 1178–80.Google Scholar
Yang, M, Kim, JA, Ahn, HJ, Choi, JW, Kim, DK, Cho, EA. Double-Lumen Tube Tracheal Intubation Using a Rigid Video-Stylet: a Randomized Controlled Comparison with the Macintosh Laryngoscope. British Journal of Anaesthesia 2013; 111(6): 990–5.Google Scholar
Kim, YR, Jun, BH, Kim, JA. The Use of the Clarus Video System for Double-Lumen Endobronchial Tube Intubation in a Patient with a Difficult Airway. Korean Journal of Anesthesiology 2013; 65(1): 85–6.Google Scholar
Levitan, RM. Design Rationale and Intended Use of a Short Optical Stylet for Routine Fiberoptic Augmentation of Emergency Laryngoscopy. The American Journal of Emergency Medicine 2006; 24(4): 490–5.Google Scholar
Airway Cam (24 November 2007). The Levitan FPS Optical Stylet as an Independent Device. Online Video Clip. http://www.youtube.com/watch?v=TyYNstJbImYGoogle Scholar
Greenland, KB, Liu, G, Tan, H, Edwards, M, Irwin, MG. Comparison of the Levitan FPS Scope and the Single-Use Bougie for Simulated Difficult Intubation in Anaesthetised Patients. Anaesthesia 2007; 62(5): 509–15.Google Scholar
Kovacs, G, Law, JA, McCrossin, C, Vu, M, Leblanc, D, Gao, J. A Comparison of a Fiberoptic Stylet and a Bougie as Adjuncts to Direct Laryngoscopy in a Manikin-Simulated Difficult Airway. Annals of Emergency Medicine 2007; 50(6): 676–85.Google Scholar
Evans, A, Morris, S, Petterson, J, Hall, JE. A Comparison of the Seeing Optical Stylet and the Gum Elastic Bougie in Simulated Difficult Tracheal Intubation: a Manikin Study. Anaesthesia 2006; 61(5): 478–81.Google Scholar
Aziz, M, Metz, S. Clinical Evaluation of the Levitan Optical Stylet. Anaesthesia 2011; 66(7): 579–81.CrossRefGoogle ScholarPubMed
Biro, P, Battig, U, Henderson, J, Seifert, B. First Clinical Experience of Tracheal Intubation with the SensaScope, a Novel Steerable Semirigid Video Stylet. British Journal of Anaesthesia 2006; 97(2): 255–61.Google Scholar
Biro, P. The SensaScope – a New Hybrid Video Intubation Stylet. Saudi Journal of Anaesthesia 2011; 5(4): 411–13.CrossRefGoogle ScholarPubMed
Greif, R, Kleine-Brueggeney, M, Theiler, L. Awake Tracheal Intubation Using the Sensascope in 13 Patients with an Anticipated Difficult Airway. Anaesthesia 2010; 65(5): 525–8.Google Scholar
Ludwig, AA, Baulig, W, Biro, P. A Simulated Severe Difficult Airway does Not Alter the Intubation Performance with the SensaScope: a Prospective Randomised Manikin Study. European Journal of Anaesthesiology 2011; 28(6): 449–53.Google Scholar
Kimura, A, Yamakage, M, Chen, X, Kamada, Y, Namiki, A. Use of the Fibreoptic Stylet Scope (Styletscope) Reduces the Hemodynamic Response to Intubation in Normotensive and Hypertensive Patients. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2001; 48(9): 919–23.Google Scholar
Kai, T, Ishibe, N, Soeda, Y, Tanaka, M, Hoka, S. Two Cases of Fetuses with Difficult Airway that Survived by the EXIT (Ex Utero Intrapartum Treatment) Procedure. Masui 2015; 64(4): 373–8.Google Scholar
Davis, L, Cook-Sather, SD, Schreiner, MS. Lighted Stylet Tracheal Intubation: a Review. Anesthesia & Analgesia 2000; 90(3): 745–56.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×