Videolaryngoscopes

airway management airwayoptimisation difficult airway safety videolaryngoscope Feb 12, 2024
The videolaryngoscope is possibly the most important change in airway management in 40 years! 🎥
 
Here it is in a nutshell 👇👇
 
The videolaryngoscope uses a screen and a camera at the distal end of the blade in order to visualise the larynx and perform tracheal intubation under direct vision.
 
Pros ✅
👉 Often improves the grade of laryngoscopy by 1-2
👉 Large variety of blades available with similar shapes to conventional blades
👉 Reduced incidence of failed or oesophageal intubations
👉 Higher first time success rates
👉 Provides a shared mental model as the whole team can see the impact of airway interventions
👉 Excellent tool for teaching
👉 Reduction in airway trauma
👉 The hyperangulated blade provides the all important “indirect view”
 
Cons ❌
👉 Cost of equipment and blades
👉 Environmental impact of disposable blades
👉 Availability
👉 Possibility to deskill conventional laryngoscopy skills
👉 Increases reluctance to perform awake intubations
 
Don’t forget! ‼️‼️
👉 You will need a stylet or a bougie with a D blade
👉 Consider asking for help if you are grabbing the videolaryngoscope
👉 Always have a conventional, battery powered laryngoscope available in case of device failure. (VL light will not work without power).
 
Don’t forget to check out our Advanced Anaesthesia Live Series recording on Expected Difficult Airways, instant and lifetime access with your Periop Concepts membership! 😁😁
 
Build knowledge ✅
Improve safety ✅
 

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