laryngoscope

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Introduction

A tube with lighting for examining or operating on the larynx through the mouth.

Airtraq, a single-use optical laryngoscope, may be superior to direct laryngoscopy using a Macintosh blade for intubation in both routine airways & difficult airways.[2][3]

Airtraq also causes less cervical spine movement than a Macintosh blade.[4][5]

The Pentax Airway Scope (AWS) & the GlideScope are high-resolution video laryngoscopes. The AWS has an integrated channel designed to help guide the endotracheal tube through the glottis.[6]

AWS is available only in adult sizes.

Storz V-MAC results in better glottic views & higher intubation success rates than the GlideScope Ranger & McGrath video laryngoscopes, when used without stylet. The more exaggerated angle of the GlideScope Ranger & McGrath blades might aid visualization in certain difficult airways but necessitates use of a stylet. Use of a stylet has been associated with palatal perforation.[7]

More general terms

Additional terms

References

  1. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999.
  2. 2.0 2.1 Maharaj CH et al A comparison of tracheal intubation using the Airtraq or the Macintosh laryngoscope in routine airway management: A randomised, controlled clinical trial. Anaesthesia 2006 Nov; 61:1093-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17042849
  3. 3.0 3.1 Maharaj CH et al. Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. Anaesthesia 2008 Feb; 63:182. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18211450
  4. 4.0 4.1 Hirabayashi Y et al A comparison of cervical spine movement during laryngoscopy using the Airtraq or Macintosh laryngoscopes. Anaesthesia 2008 Jun; 63:635 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18477276
  5. 5.0 5.1 Turkstra TP et al Cervical spine motion: A fluoroscopic comparison of the AirTraq laryngoscope versus the Macintosh laryngoscope. Anesthesiology 2009 Jul; 111:97. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19512871
  6. 6.0 6.1 Liu EHC et al. Tracheal intubation with videolaryngoscopes in patients with cervical spine immobilization: A randomized trial of the Airway Scope and the GlideScope. Br J Anaesth 2009 Jun 19; [e-pub ahead of print]. http://dx.doi.org/10.1093/bja/aep164
  7. 7.0 7.1 Maassen R et al A comparison of three videolaryngoscopes: The Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg 2009 Nov; 109:1560. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19713258
  8. Zamora J et al. Laryngoscope manipulation by experienced versus novice laryngoscopists. Can J Anaesth 2014 Dec; 61:1075 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25216632 <Internet> http://link.springer.com/article/10.1007%2Fs12630-014-0238-2