103 results match your criteria Tracheal Intubation Lighted Stylet Intubation


Comparison between video-lighted stylet (Intular Scope™) and direct laryngoscope for endotracheal intubation in patients with normal airway.

J Int Med Res 2020 Nov;48(11):300060520969532

Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea.

Objective: The Intular Scope™ (Medical Park, South Korea) (IS) is a video-lighted stylet that can be used for endotracheal intubation with excellent visualization by adding a camera to its end. We compared the efficacy of a direct laryngoscope (DL) with that of the IS based on hemodynamic changes, ease of intubation, and postoperative airway morbidities.

Methods: Seventy patients with expected normal airways were randomized for intubation using an IS (n = 35) or DL (n = 35). Read More

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November 2020

Tracheal intubation in patients at risk for cervical spinal cord injury: A systematic review.

Acta Anaesthesiol Scand 2020 04 27;64(4):443-454. Epub 2019 Dec 27.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Background: Tracheal intubation in patients at risk for secondary spinal cord injury is potentially difficult and risky.

Objectives: To compare tracheal intubation techniques in adult patients at risk for secondary cervical spinal cord injury undergoing surgery. Primary outcome was first-attempt failure rate. Read More

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Airway devices in paediatric anaesthesia.

Indian J Anaesth 2019 Sep;63(9):721-728

Department of Anaesthesiology and Critical Care, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

Airway devices were first used in children since 1940 and thereafter an increasingly large number of paediatric airway devices have come into our armamentarium. To control and protect the airway in children during anaesthesia, in intensive care unit or in emergency department either tracheal intubation is performed under direct or indirect visualization of vocal cords with the help of laryngoscopes or video-laryngoscopes respectively or it can be done blindly or by using special instruments such as fiberoptic laryngoscope, lighted stylet or Bullard laryngoscope to name a few. Airway also can be maintained with the help of Laryngeal mask airways, oropharyngeal and nasopharyngeal airways. Read More

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September 2019

A New Formula for Confirmation of Proper Endotracheal Tube Placement with Ultrasonography.

Adv J Emerg Med 2019 16;3(3):e25. Epub 2019 May 16.

Department of Emergency Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Background: Endotracheal intubation is an important procedure in critical care and emergency medicine settings. Optimal depth of the tube placement has been a serious concern because of several complications associated with its malposition.

Objective: The aim of the current study was to find a new formula to estimate the proper endotracheal tube depth when using ultrasonography or lighted stylet device in order to increase the accuracy of determining Endotracheal tube (ETT) depth and decrease the side effects of ETT misplacement. Read More

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Comparison of Simple Stylet versus Lighted Stylet for Intubating the Trachea with a Direct Laryngoscope: A Randomized Clinical Trial.

J Clin Med 2019 Jan 25;8(2). Epub 2019 Jan 25.

Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do 13620, Korea.

This study investigated the effectiveness of a lighted stylet during tracheal intubation with direct laryngoscopy. The study randomly assigned 284 patients undergoing general anesthesia to either the simple stylet (Group S) or lighted stylet (Group L) groups. In both groups, stylet-assisted intubation was performed with direct laryngoscopy. Read More

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January 2019

A Randomized Controlled Trial Comparing the Utility of Lighted Stylet and GlideScope for Double-Lumen Endobronchial Intubation.

J Cardiothorac Vasc Anesth 2018 02 7;32(1):290-296. Epub 2017 Oct 7.

Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea. Electronic address:

Objective: To compare GlideScope and lighted stylet for double-lumen endobronchial tube (DLT) intubation in terms of intubation time, success rate of first attempt at intubation, difficulty in DLT advancement toward the glottis, and postoperative sore throat and hoarseness.

Design: A prospective, randomized study.

Setting: Medical center governed by a university hostpial. Read More

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February 2018

A Unique Surgical Technique for Tracheostomy in Heterotopic Ossification: A Case Report.

Ann Otol Rhinol Laryngol 2016 Nov 23;125(11):943-946. Epub 2016 Aug 23.

Department of Otolaryngology-Head & Neck Surgery, Loyola University Medical Center, Maywood, IL, USA.

Objective: To describe a technique for tracheostomy in heterotopic ossification that has not yet been described in the literature.

Methods: We report a case of difficult tracheostomy while using conventional techniques in a 68-year-old patient who underwent mitral valve replacement requiring warfarin therapy three months prior. Imaging revealed heterotopic ossification overlying the trachea. Read More

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November 2016

Success of Intubation Rescue Techniques after Failed Direct Laryngoscopy in Adults: A Retrospective Comparative Analysis from the Multicenter Perioperative Outcomes Group.

Anesthesiology 2016 10;125(4):656-66

From the Department of Anesthesiology, Oregon Health & Science University, Portland, Oregon (M.F.A., A.M.B.); Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan (D.W.H., A.S., T.T., J. Ragheb, S.K.); Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut (A.W.W.); Department of Anesthesiology, University of Colorado, Aurora, Colorado (L.J.); Department of Anesthesiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (D.A.B.); Department of Anesthesiology, University of Vermont College of Medicine, Burlington, Vermont (W.C.P.); Department of Anesthesiology, Washington University, St. Louis, Missouri (J. Rao); Department of Anesthesiology, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee (J.L.E.); Department of Anesthesiology, University of Virginia, Charlottesville, Virginia (D.A.C.); and Department of Anesthesiology, University of Utah, Salt Lake City, Utah (P.B.).

Background: Multiple attempts at tracheal intubation are associated with mortality, and successful rescue requires a structured plan. However, there remains a paucity of data to guide the choice of intubation rescue technique after failed initial direct laryngoscopy. The authors studied a large perioperative database to determine success rates for commonly used intubation rescue techniques. Read More

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October 2016

Prehospital Endotracheal Intubation in Warm Climates: Caution is Required.

J Emerg Med 2016 Sep 2;51(3):262-4. Epub 2016 Jul 2.

Intensive Care Unit, Hôpital d'instruction des armées PERCY, Clamart, France.

Background: Out-of-hospital endotracheal intubation is a frequent procedure for trauma care. Nevertheless, in warm climates, sunlight and heat can interfere with the flow of the usual procedure. They can affect the equipment and hinder the operator. Read More

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September 2016

[Combined Use of a Videolaryngoscope and a Transilluminating Device for Intubation with Two Difficult Airways].

Masui 2015 Oct;64(10):1045-7

Videolaryngoscope is useful in patients with difficult airways, but it may not be in some patients. We report the use of a lighted stylet to facilitate tracheal intubation in 2 patients in whom laryngoscopy with a videolaryngoscope was difficult. Case 1: A 52-year-old female with loose teeth and lockjaw presented for a scoliosis surgery under general anesthesia. Read More

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October 2015

A novel method to position an endotracheal tube at the correct depth using an infrared sensor stylet.

Can J Anaesth 2013 May 1;60(5):444-9. Epub 2013 Feb 1.

School of Electrical Engineering, University of Ulsan, Ulsan, South Korea.

Purpose: This study is a feasibility assessment to determine the ability of novice users to utilize an infrared (IR) sensor stylet as a guide to position the tip of the endotracheal tube (ETT) 40 mm proximal to the carina in the swine trachea.

Methods: We developed a stylet system using an IR sensor attached to the tip of a stylet to facilitate measuring the distance of the ETT from the carina. The indicator lamp of the IR sensor system turns on through calibration when the ETT tip arrives at a point 20 mm proximal to the carina. Read More

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[Orotracheal intubation difficulty with lighted stylet: correlation of body mass index and neck circumference].

Rev Esp Anestesiol Reanim 2013 Feb 15;60(2):74-8. Epub 2012 Nov 15.

Servicio de Anestesiología, Instituto Venezolano Seguro Social, Hospital Dr. Montezuma Ginnari, Valera, Venezuela.

Objectives: To evaluate the difficulty of intubation with a lighted stylet by correlating the body mass index (BMI) with the neck or cervical circumference (CC), and to establish the values of BMI and CC that could help identify a possible difficult intubation with this device.

Patients And Methods: An observational and correlational study was performed on selected patients by consecutive sampling who were intubated using the lighted stylet. Variables such as age, gender, ASA physical status, BMI, CC, transillumination intensity, Cormack-Lehane grade, and Mallampati scores, were recorded. Read More

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February 2013

Optimal bent length of lightwand for intubation in adults: a randomized, prospective, comparative study.

Authors:
J Chen W Luo E Wang K Lu

J Int Med Res 2012 ;40(4):1519-31

Department of Anaesthesiology, Southwest Hospital, Third Military Medical University, 19 Gaotanyan Street, Shapingba, Chongqing 400038, China.

Objective: To evaluate the effect on intubation success of different bent lengths of a lightwand (a malleable illuminating stylet used for intubation), based on the patient's thyroid prominence-to-mandibular angle distance (TMD), thyroid prominence-to-incisor distance (TID) and gender.

Methods: This prospective, randomized, blinded study included patients undergoing elective surgery. In group A, the bent length was determined based on the patient's gender. Read More

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February 2013

A miniature lighted stylet for fast oral endotracheal intubation in rabbits.

Vet J 2013 Feb 25;195(2):254-6. Epub 2012 Jul 25.

Department of Anesthesiology, Yuan's General Hospital, No. 162, Cheng-Kung 1st Road, Kaohsiung City 80249, Taiwan.

Efficient oral endotracheal intubation of laboratory animals is a challenging technique in veterinary research. This study introduces a miniaturized lighted stylet for rabbit intubation. An experiment with repeated measures on two factors was used to assess the feasibility and efficacy of this method. Read More

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February 2013

Reducing injury during video-assisted endotracheal intubation: the "smart stylet" concept.

Laryngoscope 2011 Nov 24;121(11):2391-3. Epub 2011 Aug 24.

Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, The University of Washington School of Medicine, Seattle, Washington 98195, USA.

Objectives: Video-assisted endoscopic intubation (VAEI) has gained wide use in anesthesiology when difficult intubation is encountered. Even when excellent visualization of the larynx is achieved with VAEI, successful intubation can be difficult and/or traumatic due to awkward angles and rigid stylets. Presented is a modification of standard VAEI procedure that allows for minimization of intubation trauma. Read More

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November 2011

Comparison between the hemodynamic parameters of rigid laryngoscopy and lighted stylet in patients with coronariopathies.

Rev Bras Anestesiol 2011 Jul-Aug;61(4):447-55

Universidade Federal de Juiz de Fora, Brazil.

Background And Objectives: Anesthesiologists are responsible for airway management whenever they assume the anesthesia of a patient. In this study, we compare the hemodynamic parameters of rigid laryngoscopy and lighted stylet in patients with coronariopathies.

Patients And Methods: This randomized clinical trial included 40 patients undergoing myocardial revascularization assigned into two groups: lighted stylet and rigid laryngoscope. Read More

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December 2011

Comparison of 4 airway devices on cervical spine alignment in a cadaver model with global ligamentous instability at C5-C6.

Spine (Phila Pa 1976) 2012 Mar;37(6):476-81

University of Rochester/Strong Memorial Hospital, Rochester, NY, USA.

Study Design: Human cadaveric study using various intubation devices in a cervical spine instability model.

Objective: We sought to evaluate various intubation techniques and determine which device results in the least cervical motion in the setting of a global ligamentous instability model.

Summary Of Background Data: Many patients presenting with a cervical spine injury have other injuries that may require rapid airway management with endotracheal intubation. Read More

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Epiglottic prolapse induced by lighted stylet tracheal intubation.

J Anesth 2011 Apr 2;25(2):294-7. Epub 2011 Feb 2.

Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, Shizuoka 411-8777, Japan.

We report a case of epiglottic prolapse induced by lighted stylet tracheal intubation perceived by following upper gastrointestinal endoscopy. A 68-year-old male was to undergo endoscopic mucosal resection (EMR) under general anesthesia for a superficial orolarynx cancer spreading over the root of the tongue. Because the mucosal change was so minimal, intubation was performed with a lighted stylet instead of a direct laryngoscope, to prevent its metal blade spoiling the delicate endoscopic findings. Read More

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[Direct laryngoscopy or C-MAC video laryngoscopy? Routine tracheal intubation in patients undergoing ENT surgery].

Anaesthesist 2010 Sep 13;59(9):806-11. Epub 2010 Aug 13.

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der J W Goethe-Universität Frankfurt am Main.

Background: Previous studies have shown that video laryngoscopy enhances laryngeal view in patients with apparently normal and difficult airways. The utility of the novel, portable, battery-powered C-MAC video laryngoscope is as yet unproven. It was hypothesized that in routine patients undergoing ENT surgery, the rate of glottic views considered unsatisfactory, i. Read More

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September 2010

National survey to assess the content and availability of difficult-airway carts in critical-care units in the United States.

J Anesth 2010 Oct 7;24(5):811-4. Epub 2010 Aug 7.

VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Rm 203C, 3495 Bailey Ave, Buffalo, NY 14215, USA.

We have surveyed the availability of equipment, content of difficult-airway carts (DAC), and training in the use of such equipment in intensive-care units (ICU). We devised a set of proposals regarding what constitutes the ideal DAC. We surveyed 300 ICU in the United States. Read More

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October 2010

A comparative study between the laryngoscope and lighted stylet in tracheal intubation.

Rev Bras Anestesiol 2010 Mar-Apr;60(2):138-43, 79-82

Hospital Santa Cruz.

Background And Objectives: Approaching the airways with a laryngoscope can cause different types of injuries. The objective of the present study was to determine whether lighted stylet tracheal intubation can be a less traumatic alternative for patients when compared to direct laryngoscopy.

Methods: Ninety-eight patients between 16 and 88 years and physical status ASA I and II participated in the present study. Read More

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September 2010

Innovative lighted stylet--succeeds where conventional lighted stylet fails.

Middle East J Anaesthesiol 2009 Oct;20(3):447-50

Anaesthesiology & Critical care Deptt, NSCB Subharti Medical College, Meerut (UP), India.

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October 2009

Placement of the Univent tube without fiberoptic bronchoscope assistance.

Anesth Analg 2010 Feb 21;110(2):508-14. Epub 2009 Nov 21.

Department of Anaesthesiology, West China Hospital, Sichuan University, State Key Laboratory of Biotherapy of Cancer, Chengdu, Sichuan, People's Republic of China.

Background: In this study, we evaluated the feasibility and accuracy of Univent tube (Fuji Systems, Tokyo, Japan) placement with the aid of auscultation (AUS) or as guided by a lighted stylet (LS) compared with placement guided by the fiberoptic bronchoscope (FOB) or the blind intubation technique as recommended by the manufacturer's guidelines.

Methods: Eighty ASA physical status I-II adult patients requiring single-lung ventilation for elective thoracic surgery were randomly allocated into 4 groups according to the method used for Univent tube positioning: manufacturer-recommended (MR) group (n = 20); FOB group (n = 20); AUS group (n = 20); and LS group (n = 20). Tracheal placement of the Univent tube was accomplished with direct rigid laryngoscopy after anesthetic induction and was positioned by the same anesthesiologist using 1 of the above-described methods. Read More

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February 2010

A modified lightwand-guided nasotracheal intubation technique for oromaxillofacial surgical patients.

J Clin Anesth 2009 Jun 6;21(4):258-63. Epub 2009 Jun 6.

Department of Anesthesiology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.

Study Objective: To investigate the efficiency of a double curve nasotracheal tube on lightwand-guided nasotracheal intubation.

Design: Prospective, randomized, controlled trial.

Setting: University medical center hospital. Read More

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Airway management in trauma.

Minerva Anestesiol 2009 May;75(5):307-11

Department of Anesthesiology and Resuscitation, Pitié-Salpétrière Hospital, Paris, France.

Maintenance of a patent and prevention of aspiration are essential for the management of the trauma patient, that requires experienced physicians in airway control techniques. Difficulties of the airway control in the trauma setting are increased by the vital failures, the risk of aspiration, the potential cervical spine injury, the combative patient, and the obvious risk of difficult tracheal intubation related to specific injury related to the trauma. Endotracheal intubation remains the gold standard in trauma patient airway management and should be performed via the oral route with a rapid sequence induction and a manual in-line stabilization maneuver, to decrease the risks previously mentioned. Read More

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A comparison of cervical spine motion during orotracheal intubation with the trachlight(r) or the flexible fiberoptic bronchoscope.

Anesth Analg 2009 May;108(5):1638-43

Departement of Anesthesiology, Centre Hospitalier de l'Université de Montréal, Hôpital Notre-Dame, Montreal, Canada.

Background: Tracheal intubation of an unstable cervical spine (c-spine) patient with the flexible fiberoptic bronchoscope (FOB) is thought to minimize c-spine movement but may be technically difficult in certain patients. Intubation using a luminous stylet, such as the Trachlight(R) (TL), also produces minimal motion of the c-spine and may be an interesting alternative technique for patients with an unstable c-spine. In this study, we compared the cervical motion caused by the TL and the FOB during intubation. Read More

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A comparison of lighted stylet (Surch-Lite) and direct laryngoscopic intubation in patients with high Mallampati scores.

Anesth Analg 2009 Apr;108(4):1215-9

Department of Anesthesiology and Pain Medicine, School of Medicine, Konkuk University, Seoul, Korea.

Background: A lighted stylet is an effective alternative to a direct laryngoscope and has been reported to be particularly useful in patients with difficult airways. A high Mallampati class indicates poor visibility of the oropharyngeal structures. Because a lighted stylet does not require direct oropharyngeal visualization, we hypothesized that the lighted stylet would be easier to use than a direct laryngoscope in patients with a high Mallampati score. Read More

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Lighted stylet-guided intubation via the intubating laryngeal airway in a patient with Hallermann-Streiff syndrome.

Can J Anaesth 2009 Feb 31;56(2):147-50. Epub 2008 Dec 31.

Department of Anesthesia, Toronto Western Hospital, University of Toronto, MC2-405, Toronto, ON, Canada, M5T 2S8.

Purpose: Hallermann-Streiff syndrome is a congenital syndrome associated with oculomandibulofacial abnormalities and potentially difficult airways. This case report describes the novel use of a lighted stylet-guided tracheal tube insertion through a new supraglottic airway, the intubating laryngeal airway (ILA), in a patient with Hallermann-Streiff syndrome who had anticipated difficult airway.

Clinical Features: A 26-year-old male with Hallermann-Streiff syndrome was scheduled for a vitrectomy. Read More

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February 2009