Awake fiberoptic or awake video laryngoscopy tracheal
intubation in patients with anticipated difficult airy management
Charlotte V Rosenstock et al, Anesthesiology, June 2012- Vol
116- Number 6, p 1210-1216
Summary
The gold standard for intubation in patients with
anticipated difficult airways is the use of awake flexible fiberoptic
intubation (FFI). The randomized clinical trial was performed to test their
hypothesis that McGrath video larynscope (MVL) would be faster than FFI in
these patients.
Besides time for intubation, they also compared the success
of intubation in the first attempt, the ease of intubation and the patient
discomfort between the two techniques. What they found is that there was no
difference any of the categories that were tested between the two techniques.
Because of this, maybe further studies should be performed to determine if the
MVL technique should take over as the gold standard for suspected difficult
intubations. Obviously, one technique should not be used if their are
contraindications to that technique or if the anesthesiologists is not
comfortable in performing that technique.
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