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Airway Cam^TM Video Series, Volume 4: Secrets of Curved Blade Laryngoscopy

R.M. Levitan, W. Kinkle, E.A. Ochroch (Eds). 28 min. $149.95 US. Airway Cam^TM Technologies Inc.

Toronto, Ontario

This is the fourth in a series of educational videotapes from these authors. Like the other tapes, it provides superb video images of real laryngoscopies, coupled with very clear and often overlooked teaching points. The authors begin with a review of laryngeal anatomy using illustrations, video and still images obtained by flexible fibreoptic nasopharyngoscopy, videolaryngoscopy using the GlideScope® (Saturn Biomedical Systems, Burnaby, BC, Canada) and Levitan’s head-mounted airway video camera (Airway Cam^TM, Airway CAM Technologies Inc., Wayne, PA, USA).

The specific teaching points covered in volume 4 include the importance of internal land marking using the epiglottis, the value of external laryngeal manipulation and its distinction from cricoid pressure and the benefits resulting from Levitan’s recommended stylet configuration. With the exception of the last point, these are not really secrets, though their importance warrants this emphasis. The advantages of Levitan’s hockey stick configured stylet (< 35° angulation proximal to the cuff), in contrast to a more gentle curve, is well demonstrated using radiographs and actual video footage.

The video includes multiple video sequences of routine laryngoscopies and intubations demonstrating both good and poor techniques. The narration clearly identifies problems commonly encountered and proposes simple solutions demonstrating precisely how they are corrective. These include failure to identify the epiglottis, problems resulting from missing upper incisors and loss of the glottic view during endotracheal tube insertion. After demonstrating the fundamental teaching points on routine intubations, the video concludes with the application of these principles on a patient with gun shot wounds to the face and head.

Who will benefit from this videotape? It deserves a place in the libraries of anesthesiology and emergency departments. Unquestionably, it will be useful to novice laryngoscopists, but it is likely that even very experienced laryngoscopists will learn from viewing this video. Collectively, this series represents the best educational tool on laryngoscopy that I have seen.

This Article Full Text (PDF) Submit a scholarly reply Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Cooper, R. M. Search for Related Content PubMed Articles by Cooper, R. M.