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Canadian Journal of Anesthesia 51:94 (2004)
© Canadian Anesthesiologists' Society, 2004

Correspondence

Videolaryngoscopy in the management of the difficult airway

Marshall B. Kaplan, MD and George Berci, MD

Los Angeles, California

To the Editor:

We read with great interest the article by Dr. Cooper1 wherein video laryngoscopy with the Glidescope® was utilized in a patient categorized as difficult to intubate.

It is remarkable that anesthesiologists have been the last bastion, of those who regularly perform endoscopy, to resist the advantages of the enlarged image offered on a video monitor.2 However, the increasing prevalence of video in demonstrations at various meetings demonstrates its gradual acceptance.

We have been working with video intubation using the colour video Macintosh laryngoscope (Karl Storz Endoscopy Inc., Culver City, CA, USA) since 1998. Our experience, in collaboration with several other North American institutions, has convinced us that the benefits of an enlarged image, and the opportunity to have coordinated assistance when required are substantial.3–5

In addition we, like Dr. Cooper, suggest that the use of a video display should be standard when teaching intubation techniques.

References

1 Cooper RM. Use of a new videolaryngoscope (GlideScope®) in the management of a difficult airway. Can J Anesth 2003; 50: 611–3.[Abstract/Free Full Text]

2 Weiss M, Hartmann K, Fischer J, Gerber AC. Video-intuboscopic assistance is a useful aid to tracheal intubation in pediatric patients. Can J Anesth 2001; 48: 691–6.[Abstract/Free Full Text]

3 Kaplan MB, Ward DS, Berci G. A new video laryngoscope – an aid to intubation and teaching. J Clin Anesth 2002; 14: 620–6.[Medline]

4 Kaplan MB, Ward DS, Berci G. Video techniques in thoracic anesthesia. Semin Anesth 2002; 21: 204–10.

5 Hagberg C, Kaplan MB, Lozada L, Ward DS, Berci G. The experience of four american clinics with a Macintosh video laryngoscope. Eur J Anesth 2003; 20: 44 (abstract).


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REPLY
Richard M. Cooper
CJA 2004 51: 95-96. [Full Text]  



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