Skip to main content
Erschienen in: Der Anaesthesist 2/2010

01.02.2010 | Notfallmedizin

Indirekte Laryngoskopie

Alternativen zur Atemwegssicherung

verfasst von: Dr. R.R. Noppens, C. Werner, T. Piepho

Erschienen in: Die Anaesthesiologie | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die endotracheale Intubation gilt als Goldstandard zur Sicherung der Atemwege und erfolgte bisher meistens mithilfe der direkten Laryngoskopie. Seit Kurzem sind Alternativen verfügbar, bei denen eine Ausrichtung der oral-pharyngealen Achse zur gradlinigen Sicht auf die Glottisebene aufgrund von Videotechnik oder speziellen Optiken entfällt. Bei schwierigen Sichtverhältnissen kann mit diesen Geräten oft eine verbesserte Sicht erzielt und die endotracheale Intubation erfolgreich durchgeführt werden. Bisherige Studienergebnisse zeigen, dass die Anwendung der meisten dieser Alternativen schnell und leicht erlernt werden kann. Die Technik der indirekten Laryngoskopie wird derzeit erfolgreich in der anästhesiologischen Routine beim unerwartet schwierigen Atemweg eingesetzt. Dieser Beitrag bietet eine erste Übersicht über häufig angewendete Geräte, mit denen ein Endotrachealtubus per indirekter Laryngoskopie unter Sicht platziert werden kann.
Literatur
1.
Zurück zum Zitat Abramson SI, Holmes AA, Hagberg CA (2008) Awake insertion of the Bonfils retromolar intubation fiberscope in five patients with anticipated difficult airways. Anesth Analg 106:1215–1217, table of contentsCrossRefPubMed Abramson SI, Holmes AA, Hagberg CA (2008) Awake insertion of the Bonfils retromolar intubation fiberscope in five patients with anticipated difficult airways. Anesth Analg 106:1215–1217, table of contentsCrossRefPubMed
2.
Zurück zum Zitat Agrò F, Barzoi G, Montecchia F (2003) Tracheal intubation using a Macintosh laryngoscope or a GlideScope in 15 patients with cervical spine immobilization. Br J Anaesth 90:705–706CrossRefPubMed Agrò F, Barzoi G, Montecchia F (2003) Tracheal intubation using a Macintosh laryngoscope or a GlideScope in 15 patients with cervical spine immobilization. Br J Anaesth 90:705–706CrossRefPubMed
3.
Zurück zum Zitat Asai T, Liu EH, Matsumoto S et al (2009) Use of the Pentax-AWS in 293 patients with difficult airways. Anesthesiology 110:898–904CrossRefPubMed Asai T, Liu EH, Matsumoto S et al (2009) Use of the Pentax-AWS in 293 patients with difficult airways. Anesthesiology 110:898–904CrossRefPubMed
4.
Zurück zum Zitat Aziz M, Dillman D, Kirsch JR, Brambrink A (2009) Video laryngoscopy with the Macintosh video laryngoscope in simulated prehospital scenarios by paramedic students. Prehosp Emerg Care 13:251–255CrossRefPubMed Aziz M, Dillman D, Kirsch JR, Brambrink A (2009) Video laryngoscopy with the Macintosh video laryngoscope in simulated prehospital scenarios by paramedic students. Prehosp Emerg Care 13:251–255CrossRefPubMed
5.
Zurück zum Zitat Bein B, Yan M, Tonner PH et al (2004) Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy. Anaesthesia 59:1207–1209CrossRefPubMed Bein B, Yan M, Tonner PH et al (2004) Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy. Anaesthesia 59:1207–1209CrossRefPubMed
6.
Zurück zum Zitat Boylan JF, Kavanagh BP (2008) Emergency airway management: competence versus expertise? Anesthesiology 109:945–947CrossRefPubMed Boylan JF, Kavanagh BP (2008) Emergency airway management: competence versus expertise? Anesthesiology 109:945–947CrossRefPubMed
7.
Zurück zum Zitat Byhahn C, Meininger D, Walcher F et al (2007) Prehospital emergency endotracheal intubation using the Bonfils intubation fiberscope. Eur J Emerg Med 14:43–46CrossRefPubMed Byhahn C, Meininger D, Walcher F et al (2007) Prehospital emergency endotracheal intubation using the Bonfils intubation fiberscope. Eur J Emerg Med 14:43–46CrossRefPubMed
8.
Zurück zum Zitat Byhahn C, Nemetz S, Breitkreutz R et al (2008) Brief report: tracheal intubation using the Bonfils intubation fibrescope or direct laryngoscopy for patients with a simulated difficult airway. Can J Anaesth 55:232–237CrossRefPubMed Byhahn C, Nemetz S, Breitkreutz R et al (2008) Brief report: tracheal intubation using the Bonfils intubation fibrescope or direct laryngoscopy for patients with a simulated difficult airway. Can J Anaesth 55:232–237CrossRefPubMed
9.
Zurück zum Zitat Cobas MA, De la Peña MA, Manning R et al (2009) Prehospital intubations and mortality: a level 1 trauma center perspective. Anesth Analg 109:489–493CrossRefPubMed Cobas MA, De la Peña MA, Manning R et al (2009) Prehospital intubations and mortality: a level 1 trauma center perspective. Anesth Analg 109:489–493CrossRefPubMed
10.
Zurück zum Zitat Cooper RM (2007) Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth 54:54–57CrossRefPubMed Cooper RM (2007) Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth 54:54–57CrossRefPubMed
11.
Zurück zum Zitat Cooper RM, Pacey JA, Bishop MJ, McCluskey SA (2005) Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth 52:191–198CrossRefPubMed Cooper RM, Pacey JA, Bishop MJ, McCluskey SA (2005) Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth 52:191–198CrossRefPubMed
12.
Zurück zum Zitat Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39:1105–1111CrossRefPubMed Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39:1105–1111CrossRefPubMed
13.
Zurück zum Zitat Cuchillo JV, Rodríguez MA (2005) Considerations aimed at facilitating the use of the new GlideScope videolaryngoscope. Can J Anaesth 52:661–662PubMed Cuchillo JV, Rodríguez MA (2005) Considerations aimed at facilitating the use of the new GlideScope videolaryngoscope. Can J Anaesth 52:661–662PubMed
14.
Zurück zum Zitat Deutsche Gesellschaft für Anästhesie und Intensivmedizin (2004) Leitlinie Airway Management. Anaesthesiol Intensivmed 45:302–306 Deutsche Gesellschaft für Anästhesie und Intensivmedizin (2004) Leitlinie Airway Management. Anaesthesiol Intensivmed 45:302–306
15.
Zurück zum Zitat Dhonneur G, Abdi W, Amathieu R et al (2009) Optimising tracheal intubation success rate using the Airtraq laryngoscope. Anaesthesia 64:315–319CrossRefPubMed Dhonneur G, Abdi W, Amathieu R et al (2009) Optimising tracheal intubation success rate using the Airtraq laryngoscope. Anaesthesia 64:315–319CrossRefPubMed
16.
Zurück zum Zitat Dhonneur G, Ndoko SK, Amathieu R et al (2007) A comparison of two techniques for inserting the Airtraq laryngoscope in morbidly obese patients. Anaesthesia 62:774–777CrossRefPubMed Dhonneur G, Ndoko SK, Amathieu R et al (2007) A comparison of two techniques for inserting the Airtraq laryngoscope in morbidly obese patients. Anaesthesia 62:774–777CrossRefPubMed
17.
Zurück zum Zitat Doyle DJ (2004) GlideScope-assisted fiberoptic intubation: a new airway teaching method. Anesthesiology 101:1252CrossRefPubMed Doyle DJ (2004) GlideScope-assisted fiberoptic intubation: a new airway teaching method. Anesthesiology 101:1252CrossRefPubMed
18.
Zurück zum Zitat Enomoto Y, Asai T, Arai T et al (2008) 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 100:544–548CrossRefPubMed Enomoto Y, Asai T, Arai T et al (2008) 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 100:544–548CrossRefPubMed
19.
Zurück zum Zitat Folwaczny M, Hickel R (1998) Oro-dentale Verletzungen während der Intubationsnarkose. Anaesthesist 47:707–731CrossRefPubMed Folwaczny M, Hickel R (1998) Oro-dentale Verletzungen während der Intubationsnarkose. Anaesthesist 47:707–731CrossRefPubMed
20.
Zurück zum Zitat Goutcher CM, Lochhead V (2005) Reduction in mouth opening with semi-rigid cervical collars. Br J Anaesth 95:344–348CrossRefPubMed Goutcher CM, Lochhead V (2005) Reduction in mouth opening with semi-rigid cervical collars. Br J Anaesth 95:344–348CrossRefPubMed
21.
Zurück zum Zitat Halligan M, Charters P (2003) A clinical evaluation of the Bonfils Intubation Fibrescope. Anaesthesia 58:1087–1091CrossRefPubMed Halligan M, Charters P (2003) A clinical evaluation of the Bonfils Intubation Fibrescope. Anaesthesia 58:1087–1091CrossRefPubMed
22.
Zurück zum Zitat Heath KJ (1994) The effect of laryngoscopy of different cervical spine immobilisation techniques. Anaesthesia 49:843–845CrossRefPubMed Heath KJ (1994) The effect of laryngoscopy of different cervical spine immobilisation techniques. Anaesthesia 49:843–845CrossRefPubMed
23.
Zurück zum Zitat Hirabayashi Y, Fujita A, Seo N, Sugimoto H (2008) A comparison of cervical spine movement during laryngoscopy using the Airtraq or Macintosh laryngoscopes. Anaesthesia 63:635–640CrossRefPubMed Hirabayashi Y, Fujita A, Seo N, Sugimoto H (2008) A comparison of cervical spine movement during laryngoscopy using the Airtraq or Macintosh laryngoscopes. Anaesthesia 63:635–640CrossRefPubMed
24.
Zurück zum Zitat Hirabayashi Y, Seo N (2007) Tracheal intubation by non-anaesthetist physicians using the Airway scope. Emerg Med J 24:572–573CrossRefPubMed Hirabayashi Y, Seo N (2007) Tracheal intubation by non-anaesthetist physicians using the Airway scope. Emerg Med J 24:572–573CrossRefPubMed
25.
Zurück zum Zitat Hofstetter C, Scheller B, Flondor M et al (2006) Videolaryngoskopie versus direkte Laryngoskopie zur elektiven endotrachealen Intubation. Anaesthesist 55:535–540CrossRefPubMed Hofstetter C, Scheller B, Flondor M et al (2006) Videolaryngoskopie versus direkte Laryngoskopie zur elektiven endotrachealen Intubation. Anaesthesist 55:535–540CrossRefPubMed
26.
Zurück zum Zitat Huang WT, Huang CY, Chung YT (2007) Clinical comparisons between GlideScope video laryngoscope and Trachlight in simulated cervical spine instability. J Clin Anesth 19:110–114CrossRefPubMed Huang WT, Huang CY, Chung YT (2007) Clinical comparisons between GlideScope video laryngoscope and Trachlight in simulated cervical spine instability. J Clin Anesth 19:110–114CrossRefPubMed
27.
Zurück zum Zitat Jones PM, Turkstra TP, Armstrong KP et al (2007) Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope. Can J Anaesth 54:21–27CrossRefPubMed Jones PM, Turkstra TP, Armstrong KP et al (2007) Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope. Can J Anaesth 54:21–27CrossRefPubMed
28.
Zurück zum Zitat Jungbauer A, Schumann M, Brunkhorst V et al (2009) Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth 102:546–550CrossRefPubMed Jungbauer A, Schumann M, Brunkhorst V et al (2009) Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth 102:546–550CrossRefPubMed
29.
Zurück zum Zitat Kaplan MB, Hagberg CA, Ward DS et al (2006) Comparison of direct and video-assisted views of the larynx during routine intubation. J Clin Anesth 18:357–362CrossRefPubMed Kaplan MB, Hagberg CA, Ward DS et al (2006) Comparison of direct and video-assisted views of the larynx during routine intubation. J Clin Anesth 18:357–362CrossRefPubMed
30.
Zurück zum Zitat Kim HJ, Chung SP, Park IC et al (2008) Comparison of the GlideScope video laryngoscope and Macintosh laryngoscope in simulated tracheal intubation scenarios. Emerg Med J 25:279–282CrossRefPubMed Kim HJ, Chung SP, Park IC et al (2008) Comparison of the GlideScope video laryngoscope and Macintosh laryngoscope in simulated tracheal intubation scenarios. Emerg Med J 25:279–282CrossRefPubMed
31.
Zurück zum Zitat Konrad C, Schüpfer G, Wietlisbach M, Gerber H (1998) Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures? Anesth Analg 86:635–639CrossRefPubMed Konrad C, Schüpfer G, Wietlisbach M, Gerber H (1998) Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures? Anesth Analg 86:635–639CrossRefPubMed
32.
Zurück zum Zitat Lange M, Frommer M, Redel A et al (2009) Comparison of the GlideScope and Airtraq optical laryngoscopes in patients undergoing direct microlaryngoscopy. Anaesthesia 64:323–328CrossRefPubMed Lange M, Frommer M, Redel A et al (2009) Comparison of the GlideScope and Airtraq optical laryngoscopes in patients undergoing direct microlaryngoscopy. Anaesthesia 64:323–328CrossRefPubMed
33.
Zurück zum Zitat Lipp M, Daubländer M, Thierbach A, Reuss U (1996) Bewegungen der Kiefergelenke während der endotrachealen Intubation. Anaesthesist 45:907–922CrossRefPubMed Lipp M, Daubländer M, Thierbach A, Reuss U (1996) Bewegungen der Kiefergelenke während der endotrachealen Intubation. Anaesthesist 45:907–922CrossRefPubMed
34.
Zurück zum Zitat Low D, Healy D, Rasburn N (2008) The use of the BERCI DCI video laryngoscope for teaching novices direct laryngoscopy and tracheal intubation. Anaesthesia 63:195–201PubMed Low D, Healy D, Rasburn N (2008) The use of the BERCI DCI video laryngoscope for teaching novices direct laryngoscopy and tracheal intubation. Anaesthesia 63:195–201PubMed
35.
Zurück zum Zitat Maassen R, Lee R, Hermans B et al (2009) A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg 109:1560–1565CrossRefPubMed Maassen R, Lee R, Hermans B et al (2009) A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg 109:1560–1565CrossRefPubMed
36.
Zurück zum Zitat Maharaj CH, Buckley E, Harte BH, Laffey JG (2007) Endotracheal intubation in patients with cervical spine immobilization: a comparison of Macintosh and Airtraq laryngoscopes. Anesthesiology 107:53–59CrossRefPubMed Maharaj CH, Buckley E, Harte BH, Laffey JG (2007) Endotracheal intubation in patients with cervical spine immobilization: a comparison of Macintosh and Airtraq laryngoscopes. Anesthesiology 107:53–59CrossRefPubMed
37.
Zurück zum Zitat Maharaj CH, Costello JF, Harte BH, Laffey JG (2008) Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. Anaesthesia 63:182–188PubMedCrossRef Maharaj CH, Costello JF, Harte BH, Laffey JG (2008) Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. Anaesthesia 63:182–188PubMedCrossRef
38.
Zurück zum Zitat Maharaj CH, Costello JF, Higgins BD et al (2006) Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. Anaesthesia 61:671–677CrossRefPubMed Maharaj CH, Costello JF, Higgins BD et al (2006) Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. Anaesthesia 61:671–677CrossRefPubMed
39.
Zurück zum Zitat Malik AM, Frogel JK (2007) Anterior tonsillar pillar perforation during GlideScope video laryngoscopy. Anesth Analg 104:1610–1611CrossRefPubMed Malik AM, Frogel JK (2007) Anterior tonsillar pillar perforation during GlideScope video laryngoscopy. Anesth Analg 104:1610–1611CrossRefPubMed
40.
Zurück zum Zitat Malik MA, Maharaj CH, Harte BH, Laffey JG (2008) Comparison of Macintosh, Truview EVO2, GlideScope and Airwayscope laryngoscope use in patients with cervical spine immobilization. Br J Anaesth 101:723–730CrossRefPubMed Malik MA, Maharaj CH, Harte BH, Laffey JG (2008) Comparison of Macintosh, Truview EVO2, GlideScope and Airwayscope laryngoscope use in patients with cervical spine immobilization. Br J Anaesth 101:723–730CrossRefPubMed
41.
Zurück zum Zitat Malik MA, Subramaniam R, Maharaj CH et al (2009) Randomized controlled trial of the Pentax AWS(R), GlideScope(R) and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth 103:761–768CrossRefPubMed Malik MA, Subramaniam R, Maharaj CH et al (2009) Randomized controlled trial of the Pentax AWS(R), GlideScope(R) and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth 103:761–768CrossRefPubMed
42.
Zurück zum Zitat Malin E, Montblanc JD, Ynineb Y et al (2009) Performance of the Airtraq laryngoscope after failed conventional tracheal intubation: a case series. Acta Anaesthesiol Scand 53:858–863CrossRefPubMed Malin E, Montblanc JD, Ynineb Y et al (2009) Performance of the Airtraq laryngoscope after failed conventional tracheal intubation: a case series. Acta Anaesthesiol Scand 53:858–863CrossRefPubMed
43.
Zurück zum Zitat Mihai R, Blair E, Kay H, Cook TM (2008) A quantitative review and meta-analysis of performance of non-standard laryngoscopes and rigid fibreoptic intubation aids. Anaesthesia 63:745–760CrossRefPubMed Mihai R, Blair E, Kay H, Cook TM (2008) A quantitative review and meta-analysis of performance of non-standard laryngoscopes and rigid fibreoptic intubation aids. Anaesthesia 63:745–760CrossRefPubMed
44.
Zurück zum Zitat Miki T, Inagawa G, Kikuchi T et al (2007) Evaluation of the Airway scope, a new video laryngoscope, in tracheal intubation by naive operators: a manikin study. Acta Anaesthesiol Scand 51:1378–1381PubMed Miki T, Inagawa G, Kikuchi T et al (2007) Evaluation of the Airway scope, a new video laryngoscope, in tracheal intubation by naive operators: a manikin study. Acta Anaesthesiol Scand 51:1378–1381PubMed
45.
Zurück zum Zitat Moore MS, Wong AB (2007) GlideScope intubation assisted by fiberoptic scope. Anesthesiology 106:885CrossRefPubMed Moore MS, Wong AB (2007) GlideScope intubation assisted by fiberoptic scope. Anesthesiology 106:885CrossRefPubMed
46.
Zurück zum Zitat Muallem M, Baraka A (2007) Tracheal intubation using the GlideScope with a combined curved pipe stylet and endotracheal tube introducer. Can J Anaesth 54:77–78PubMed Muallem M, Baraka A (2007) Tracheal intubation using the GlideScope with a combined curved pipe stylet and endotracheal tube introducer. Can J Anaesth 54:77–78PubMed
47.
Zurück zum Zitat Neustein SM (2008) Advancing the endotracheal tube smoothly when using the GlideScope. Can J Anaesth 55:314–315CrossRefPubMed Neustein SM (2008) Advancing the endotracheal tube smoothly when using the GlideScope. Can J Anaesth 55:314–315CrossRefPubMed
48.
Zurück zum Zitat Noppens RR, Möbus S, Werner C, Piepho T (2009) Atemwegssicherung bei immobilisierter Halswirbelsäule – Präklinischer Einsatz des McGrath®-Videolaryngoskops. Anaesthesist 58:469–473CrossRefPubMed Noppens RR, Möbus S, Werner C, Piepho T (2009) Atemwegssicherung bei immobilisierter Halswirbelsäule – Präklinischer Einsatz des McGrath®-Videolaryngoskops. Anaesthesist 58:469–473CrossRefPubMed
49.
Zurück zum Zitat Nouruzi-Sedeh P, Schumann M, Groeben H (2009) Laryngoscopy via Macintosh blade versus GlideScope: success rate and time for endotracheal intubation in untrained medical personnel. Anesthesiology 110:32–37CrossRefPubMed Nouruzi-Sedeh P, Schumann M, Groeben H (2009) Laryngoscopy via Macintosh blade versus GlideScope: success rate and time for endotracheal intubation in untrained medical personnel. Anesthesiology 110:32–37CrossRefPubMed
50.
Zurück zum Zitat O’Leary AM, Sandison MR, Myneni N et al (2008) Preliminary evaluation of a novel videolaryngoscope, the McGrath series 5, in the management of difficult and challenging endotracheal intubation. J Clin Anesth 20:320–321CrossRef O’Leary AM, Sandison MR, Myneni N et al (2008) Preliminary evaluation of a novel videolaryngoscope, the McGrath series 5, in the management of difficult and challenging endotracheal intubation. J Clin Anesth 20:320–321CrossRef
51.
Zurück zum Zitat Ogino Y, Uchiyama K, Hasumi M et al (2008) A pitfall of Airway scope – an experience of distinctive airway edema after palatal laceration caused by Airway scope. Masui 57:1245–1248PubMed Ogino Y, Uchiyama K, Hasumi M et al (2008) A pitfall of Airway scope – an experience of distinctive airway edema after palatal laceration caused by Airway scope. Masui 57:1245–1248PubMed
52.
Zurück zum Zitat Osborn IP, Behringer EC, Kramer DC (2007) Difficult airway management following supratentorial craniotomy: a useful maneuver with a new device. Anesth Analg 105:552–553CrossRefPubMed Osborn IP, Behringer EC, Kramer DC (2007) Difficult airway management following supratentorial craniotomy: a useful maneuver with a new device. Anesth Analg 105:552–553CrossRefPubMed
53.
Zurück zum Zitat Peterson GN, Domino KB, Caplan RA et al (2005) Management of the difficult airway: a closed claims analysis. Anesthesiology 103:33–39CrossRefPubMed Peterson GN, Domino KB, Caplan RA et al (2005) Management of the difficult airway: a closed claims analysis. Anesthesiology 103:33–39CrossRefPubMed
54.
Zurück zum Zitat Phua D, Wang CF, Yoong CS (2008) Use of the Endoflex endotracheal tube as a stylet-free alternative in GlideScope intubations. Can J Anaesth 55:473–474CrossRefPubMed Phua D, Wang CF, Yoong CS (2008) Use of the Endoflex endotracheal tube as a stylet-free alternative in GlideScope intubations. Can J Anaesth 55:473–474CrossRefPubMed
55.
Zurück zum Zitat Piepho T, Noppens RR, Buggenhagen H et al (2010) Erfolgreicher Einsatz des Intubationsendoskops nach Bonfils in der präklinischen Notfallmedizin. Notfall Rettungsmed, doi 10.1007/s10049-009-1259-1 Piepho T, Noppens RR, Buggenhagen H et al (2010) Erfolgreicher Einsatz des Intubationsendoskops nach Bonfils in der präklinischen Notfallmedizin. Notfall Rettungsmed, doi 10.1007/s10049-009-1259-1
56.
Zurück zum Zitat Powell L, Andrzejowski J, Taylor R, Turnbull D (2009) Comparison of the performance of four laryngoscopes in a high-fidelity simulator using normal and difficult airway. Br J Anaesth 103:755–760CrossRefPubMed Powell L, Andrzejowski J, Taylor R, Turnbull D (2009) Comparison of the performance of four laryngoscopes in a high-fidelity simulator using normal and difficult airway. Br J Anaesth 103:755–760CrossRefPubMed
57.
Zurück zum Zitat Rai MR, Dering A, Verghese C (2005) The GlideScope system: a clinical assessment of performance. Anaesthesia 60:60–64CrossRefPubMed Rai MR, Dering A, Verghese C (2005) The GlideScope system: a clinical assessment of performance. Anaesthesia 60:60–64CrossRefPubMed
58.
Zurück zum Zitat Robitaille A, Williams SR, Tremblay MH et al (2008) Cervical spine motion during tracheal intubation with manual in-line stabilization: direct laryngoscopy versus GlideScope videolaryngoscopy. Anesth Analg 106:935–941CrossRefPubMed Robitaille A, Williams SR, Tremblay MH et al (2008) Cervical spine motion during tracheal intubation with manual in-line stabilization: direct laryngoscopy versus GlideScope videolaryngoscopy. Anesth Analg 106:935–941CrossRefPubMed
59.
Zurück zum Zitat Rudolph C, Schneider JP, Wallenborn J, Schaffranietz L (2005) Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia 60:668–672CrossRefPubMed Rudolph C, Schneider JP, Wallenborn J, Schaffranietz L (2005) Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia 60:668–672CrossRefPubMed
60.
Zurück zum Zitat Savoldelli GL, Schiffer E, Abegg C et al (2008) Comparison of the GlideScope, the McGrath, the Airtraq and the Macintosh laryngoscopes in simulated difficult airways*. Anaesthesia 63:1358–1364CrossRefPubMed Savoldelli GL, Schiffer E, Abegg C et al (2008) Comparison of the GlideScope, the McGrath, the Airtraq and the Macintosh laryngoscopes in simulated difficult airways*. Anaesthesia 63:1358–1364CrossRefPubMed
61.
Zurück zum Zitat Savoldelli GL, Schiffer E, Abegg C et al (2009) Learning curves of the GlideScope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol 26:554–558CrossRefPubMed Savoldelli GL, Schiffer E, Abegg C et al (2009) Learning curves of the GlideScope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol 26:554–558CrossRefPubMed
62.
Zurück zum Zitat Shippey B, Ray D, McKeown D (2007) Case series: the McGrath videolaryngoscope – an initial clinical evaluation. Can J Anaesth 54:307–313CrossRefPubMed Shippey B, Ray D, McKeown D (2007) Case series: the McGrath videolaryngoscope – an initial clinical evaluation. Can J Anaesth 54:307–313CrossRefPubMed
63.
Zurück zum Zitat Shippey B, Ray D, McKeown D (2008) Use of the McGrath videolaryngoscope in the management of difficult and failed tracheal intubation. Br J Anaesth 100:116–119CrossRefPubMed Shippey B, Ray D, McKeown D (2008) Use of the McGrath videolaryngoscope in the management of difficult and failed tracheal intubation. Br J Anaesth 100:116–119CrossRefPubMed
64.
Zurück zum Zitat Takenaka I, Aoyama K, Iwagaki T et al (2009) Approach combining the airway scope and the bougie for minimizing movement of the cervical spine during endotracheal intubation. Anesthesiology 110:1335–1340CrossRefPubMed Takenaka I, Aoyama K, Iwagaki T et al (2009) Approach combining the airway scope and the bougie for minimizing movement of the cervical spine during endotracheal intubation. Anesthesiology 110:1335–1340CrossRefPubMed
65.
Zurück zum Zitat Tan BH, Liu EH, Lim RT et al (2009) Ease of intubation with the GlideScope or Airway Scope by novice operators in simulated easy and difficult airways – a manikin study. Anaesthesia 64:187–190CrossRefPubMed Tan BH, Liu EH, Lim RT et al (2009) Ease of intubation with the GlideScope or Airway Scope by novice operators in simulated easy and difficult airways – a manikin study. Anaesthesia 64:187–190CrossRefPubMed
66.
Zurück zum Zitat Thierbach A, Piepho T, Wolcke B et al (2004) Präklinische Sicherung der Atemwege – Erfolgsraten und Komplikationen. Anaesthesist 53:543–550CrossRefPubMed Thierbach A, Piepho T, Wolcke B et al (2004) Präklinische Sicherung der Atemwege – Erfolgsraten und Komplikationen. Anaesthesist 53:543–550CrossRefPubMed
67.
Zurück zum Zitat Timmermann A, Eich C, Russo SG et al (2006) Prehospital airway management: a prospective evaluation of anaesthesia trained emergency physicians. Resuscitation 70:179–185CrossRefPubMed Timmermann A, Eich C, Russo SG et al (2006) Prehospital airway management: a prospective evaluation of anaesthesia trained emergency physicians. Resuscitation 70:179–185CrossRefPubMed
68.
Zurück zum Zitat Turkstra TP, Harle CC, Armstrong KP et al (2007) The GlideScope-specific rigid stylet and standard malleable stylet are equally effective for GlideScope use. Can J Anaesth 54:891–896CrossRefPubMed Turkstra TP, Harle CC, Armstrong KP et al (2007) The GlideScope-specific rigid stylet and standard malleable stylet are equally effective for GlideScope use. Can J Anaesth 54:891–896CrossRefPubMed
69.
Zurück zum Zitat Turkstra TP, Pelz DM, Jones PM (2009) Cervical spine motion: a fluoroscopic comparison of the AirTraq laryngoscope versus the Macintosh laryngoscope. Anesthesiology 111:97–101CrossRefPubMed Turkstra TP, Pelz DM, Jones PM (2009) Cervical spine motion: a fluoroscopic comparison of the AirTraq laryngoscope versus the Macintosh laryngoscope. Anesthesiology 111:97–101CrossRefPubMed
70.
Zurück zum Zitat Wong DM, Prabhu A, Chakraborty S et al (2009) Cervical spine motion during flexible bronchoscopy compared with the Lo-Pro GlideScope. Br J Anaesth 102:424–430CrossRefPubMed Wong DM, Prabhu A, Chakraborty S et al (2009) Cervical spine motion during flexible bronchoscopy compared with the Lo-Pro GlideScope. Br J Anaesth 102:424–430CrossRefPubMed
71.
Zurück zum Zitat Woollard M, Lighton D, Mannion W et al (2008) Airtraq vs standard laryngoscopy by student paramedics and experienced prehospital laryngoscopists managing a model of difficult intubation. Anaesthesia 63:26–31CrossRefPubMed Woollard M, Lighton D, Mannion W et al (2008) Airtraq vs standard laryngoscopy by student paramedics and experienced prehospital laryngoscopists managing a model of difficult intubation. Anaesthesia 63:26–31CrossRefPubMed
72.
Zurück zum Zitat Xue FS, Yang QY, He N, Xu YC (2008) The modified ventilating tube changer to facilitate tracheal intubation using the GlideScope in patients with a limited mouth opening. Br J Anaesth 101:126–127CrossRefPubMed Xue FS, Yang QY, He N, Xu YC (2008) The modified ventilating tube changer to facilitate tracheal intubation using the GlideScope in patients with a limited mouth opening. Br J Anaesth 101:126–127CrossRefPubMed
Metadaten
Titel
Indirekte Laryngoskopie
Alternativen zur Atemwegssicherung
verfasst von
Dr. R.R. Noppens
C. Werner
T. Piepho
Publikationsdatum
01.02.2010
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 2/2010
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-009-1656-3

Weitere Artikel der Ausgabe 2/2010

Der Anaesthesist 2/2010 Zur Ausgabe

CME Weiterbildung · Zertifizierte Fortbildung

Postoperative kognitive Dysfunktion

Leitlinien und Empfehlungen

Überwachung nach Anästhesieverfahren

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.