| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
* From the Department of Anesthesia, Toronto General Hospital, University of Toronto, Toronto, Ontario;
Saturn Biomedical Systems,
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; and
the Departments of Anesthesiology and Medicine, University of Washington and Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.
Address correspondence to: Dr. Richard M. Cooper, Department of Anesthesia and Pain Management, Toronto General Hospital, 200 Elizabeth Street, 3 EN-421, Toronto, Ontario M5G 2C4, Canada. Phone: 416-340-3242; Fax: 416-340-3698; E-mail: richard.cooper{at}uhn.on.ca
Objectif : Évaluer un nouveau vidéolaryngoscope et tester sa capacité à fournir une exposition du larynx et à faciliter l’intubation.
Méthode : Cinq centres, impliquant 133 opérateurs et 728 patients consécutifs, ont participé à l’évaluation du nouveau vidéolaryngoscope [GlideScope® (GS)]. De nombreux opérateurs avaient une expérience nulle ou limitée du GS. Nous avons noté les données démographiques et les caractéristiques des voies aériennes, la classification Cormack-Lehane (C/L) des visualisations et la facilité à intuber avec le GS. Un échec était défini comme un abandon de la technique.
Résultats : Six patients ont été exclus à cause de données incomplètes. Une excellente (C/L 1) ou une bonne (C/L 2) exposition du larynx a été obtenue chez 92 % et 7 % des patients respectivement. Chez les 133 patients soumis aux deux tests avec le GS et à la laryngoscopie directe (LD), le GS a donné des résultats comparables ou une vue supérieure. Parmi les 35 patients avec un grade 3 ou 4 de C/L par LD, la visualisation s’est améliorée à 1 C/L chez 24 patients et à 2 C/L chez trois patients. L’intubation avec le GS a été réussie chez 96,3 % des patients. La majorité des échecs sont survenus malgré une bonne ou une excellente visualisation glottique.
Conclusion : La laryngoscopie avec le GS fournit toujours une vision glottique comparable ou supérieure à la LD malgré l’expérience nulle ou limitée avec l’appareil. L’intubation a été généralement réussie même lorsqu’on prévoyait une difficulté modérée ou importante de la LD. Le GS a été abandonné chez 3,7 % des patients. Cela pourrait correspondre au manque de protocole formel définissant l’échec, à l’expérience antérieure limitée ou à la difficulté de manipuler le tube endotrachéal tout en surveillant l’écran.
This article has been cited by other articles:
 |
|
 |
|
  M. Gillies, J. Smith, and C. Langrish Positioning the tracheal tube during percutaneous tracheostomy: another use for videolaryngoscopy Br. J. Anaesth., July 1, 2008; 101(1): 129 - 129. [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Jones, K. P. Armstrong, P. M. Armstrong, R. A. Cherry, C. C. Harle, J. Hoogstra, and T. P. Turkstra A Comparison of GlideScope(R) Videolaryngoscopy to Direct Laryngoscopy for Nasotracheal Intubation Anesth. Analg., July 1, 2008; 107(1): 144 - 148. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H J Kim, S P Chung, I C Park, J Cho, H S Lee, and Y S Park Comparison of the GlideScope video laryngoscope and Macintosh laryngoscope in simulated tracheal intubation scenarios Emerg. Med. J., May 1, 2008; 25(5): 279 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.-H. Tremblay, S. Williams, A. Robitaille, and P. Drolet Poor Visualization During Direct Laryngoscopy and High Upper Lip Bite Test Score Are Predictors of Difficult Intubation with the GlideScope(R) Videolaryngoscope Anesth. Analg., May 1, 2008; 106(5): 1495 - 1500. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Enomoto, T. Asai, T. Arai, K. Kamishima, and Y. Okuda Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: a randomized comparative study Br. J. Anaesth., April 1, 2008; 100(4): 544 - 548. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Robitaille, S. R. Williams, M.-H. Tremblay, F. Guilbert, M. Theriault, and P. Drolet Cervical Spine Motion During Tracheal Intubation with Manual In-Line Stabilization: Direct Laryngoscopy versus GlideScope(R) Videolaryngoscopy Anesth. Analg., March 1, 2008; 106(3): 935 - 941. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. E. Cho and H. K. Kil A maneuver to facilitate endotracheal intubation using the GlideScope(R) Can J Anesth, January 1, 2008; 55(1): 56 - 57. [Full Text] [PDF]
|
|
|
|
|
|
G. L. Savoldelli and E. Schiffer Videolaryngoscopy for tracheal intubation: the guide channel or steering techniques for endotracheal tube placement? Can J Anesth, January 1, 2008; 55(1): 59 - 60. [Full Text] [PDF]
|
|
|
|
|
|
B. Shippey, D. Ray, and D. McKeown Use of the McGrath(R) videolaryngoscope in the management of difficult and failed tracheal intubation Br. J. Anaesth., January 1, 2008; 100(1): 116 - 119. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. P. Turkstra, C. C. Harle, K. P. Armstrong, P. M. Armstrong, R. A. Cherry, J. Hoogstra, and P. M. Jones The GlideScope(R)-specific rigid stylet and standard malleable stylet are equally effective for GlideScope(R) use: [Le mandrin rigide specifique au GlideScope(R) et le mandrin flexible standard sont tous deux aussi efficaces pour l'utilisation avec le GlideScope(R)] Can J Anesth, November 1, 2007; 54(11): 891 - 896. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Jones, C. C. Harle, and T. P. Turkstra The GlideScope(R) Cobalt videolaryngoscope - a novel single-use device Can J Anesth, August 1, 2007; 54(8): 677 - 678. [Full Text] [PDF]
|
|
|
|
|
|
I. P. Osborn, E. C. Behringer, and D. C. Kramer Difficult Airway Management Following Supratentorial Craniotomy: A Useful Maneuver with a New Device Anesth. Analg., August 1, 2007; 105(2): 552 - 553. [Full Text] [PDF]
|
|
|
|
|
|
P. Cross, J. Cytryn, and K. K. Cheng Perforation of the soft palate using the GlideScope(R) videolaryngoscope Can J Anesth, July 1, 2007; 54(7): 588 - 589. [Full Text] [PDF]
|
|
|
|
|
|
W.-T. Hsu, S.-C. Hsu, Y.-L. Lee, J.-S. Huang, and C.-L. Chen Penetrating Injury of the Soft Palate During GlideScope(R) Intubation Anesth. Analg., June 1, 2007; 104(6): 1609 - 1610. [Full Text] [PDF]
|
|
|
|
|
|
B. Shippey, D. Ray, and D. McKeown Case series: The McGrath(R) videolaryngoscope - an initial clinical evaluation: [Serie de cas : Le videolaryngoscope McGrath(R) - une premiere evaluation clinique] Can J Anesth, April 1, 2007; 54(4): 307 - 313. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Walz, M. Zayaruzny, and S. O. Heard Airway Management in Critical Illness Chest, February 1, 2007; 131(2): 608 - 620. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Jones, T. P. Turkstra, K. P. Armstrong, P. M. Armstrong, R. A. Cherry, J. Hoogstra, and C. C. Harle Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope(R): [Effet de l'angulation du mandrin et de la cambrure de la sonde endotracheale sur le temps requis pour l'intubation avec le GlideScope(R)] Can J Anesth, January 1, 2007; 54(1): 21 - 27. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Cooper Complications associated with the use of the GlideScope(R) videolaryngoscope: [Complications suite a l'utilisation du videolaryngoscope GlideScope(R)] Can J Anesth, January 1, 2007; 54(1): 54 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Hirabayashi The StyletScope(R) facilitates tracheal intubation with the GlideScope(R) Can J Anesth, December 1, 2006; 53(12): 1263 - 1264. [Full Text] [PDF]
|
|
|
|
|
|
P. M. Jones and C. C. Harle Avoiding awake intubation by performing awake GlideScope(R) laryngoscopy in the preoperative holding area Can J Anesth, December 1, 2006; 53(12): 1264 - 1265. [Full Text] [PDF]
|
|
|
|
|
|
H.-Y. Lai, P.-K. Wang, Y.-L. Yang, J. Lai, and T.-Y. Chen Facilitated insertion of a nasogastric tube in tracheal intubated patients using the GlideScope. Br. J. Anaesth., November 1, 2006; 97(5): 749 - 750. [Full Text] [PDF]
|
|
|
|
|
|
Y. Hirabayashi GlideScope(R) videolaryngoscope facilitates nasotracheal intubation. Can J Anesth, November 1, 2006; 53(11): 1163 - 1164. [Full Text] [PDF]
|
|
|
|
|
|
M. Micaglio, M. Parotto, D. Trevisanuto, V. Zanardo, and C. Ori GlidescopeTM/gastric-tube guided technique: a back-up approach for ProSealTM LMA insertion. Can J Anesth, October 1, 2006; 53(10): 1063 - 1064. [Full Text] [PDF]
|
|
|
|
|
|
D. Peral, E. Porcar, J. Bellver, J. Higueras, X. Onrubia, and M. Barbera Glidescope Video Laryngoscope is Useful in Exchanging Endotracheal Tubes Anesth. Analg., October 1, 2006; 103(4): 1043 - 1044. [Full Text] [PDF]
|
|
|
|
|
|
H. Y. Lai, I. H. Chen, A. Chen, F. Y. Hwang, and Y. Lee The use of the GlideScope(R) for tracheal intubation in patients with ankylosing spondylitis Br. J. Anaesth., September 1, 2006; 97(3): 419 - 422. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Kramer and I. P. Osborn More maneuvers to facilitate tracheal intubation with the GlideScope(R). Can J Anesth, July 1, 2006; 53(7): 737 - 737. [Full Text] [PDF]
|
|
|
|
|
|
O. Hung and J. A. Law Advances in airway management Can J Anesth, June 1, 2006; 53(6): 628 - 631. [Full Text] [PDF]
|
|
|
|
|
|
E. Falco-Molmeneu, F. Ramirez-Montero, R. Carregui-Tuson, N. Santamaria-Arribas, T. Gallen-Jaime, and M. Vila-Sanchez The modified Eschmann guide to facilitate tracheal intubation using the GlideScope(R). Can J Anesth, June 1, 2006; 53(6): 633 - 634. [Full Text] [PDF]
|
|
|
|
|
|
S. O. Bader, J. W. Heitz, and P. B. Audu Tracheal intubation with the GlidesScope(R) videolaryngoscope, using a "J" shaped endotracheal tube. Can J Anesth, June 1, 2006; 53(6): 634 - 635. [Full Text] [PDF]
|
|
|
|
|
|
C. K. Gooden Successful first time use of the portable GlideScope(R) videolaryngoscope in a patient with severe ankylosing spondylitis Can J Anesth, August 1, 2005; 52(7): 777 - 778. [Full Text] [PDF]
|
|
|
|
 |
|
 The GlideScope: Is It Really That Easy? Journal Watch Emergency Medicine, April 27, 2005; 2005(427): 5 - 5. [Full Text]
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
