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Die Anaesthesiologie

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01.12.2012 | Leitthema

Videolaryngoskopie olé!

Direkte und flexible Intubationsverfahren ade?

verfasst von: PD Dr. S.G. Russo, D.E.A.A., Prof. Dr. M. Weiss, PD Dr. C. Eich, D.E.A.A., FERC

Erschienen in: Die Anaesthesiologie | Ausgabe 12/2012

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Zusammenfassung

In den letzten Jahren haben verschiedene Videolaryngoskopiesysteme Einzug in die anästhesiologische Praxis gehalten. Aufgrund der technischen Konzeption dieser Systeme (stärker angulierte Spatelform bzw. nahe der Spatelspitze befindliche Kameraoptik) ist die Sicht auf die laryngealen Strukturen sowohl bei normalen als auch bei schwierigen Laryngoskopieverhältnissen häufig besser als bei der direkten Laryngoskopie. Gleichzeitig bietet die Visualisierung des Intubationsvorgangs gute Möglichkeiten in Ausbildung und Supervision. Mit der zunehmenden Verbreitung der Videolaryngoskopie könnten die direkte laryngoskopische und die flexible fiberoptische Intubation in den Hintergrund gedrängt werden. Dieser Beitrag beschreibt die aktuellen Entwicklungen und diskutiert, warum die Expertise in der direkten Laryngoskopie und in der Intubation mithilfe der flexiblen Fiberoptik trotz zunehmender Verbreitung der Videolaryngoskopie v. a. für Experten im Bereich der Atemwegssicherung aufrechterhalten werden sollte.

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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 90:705–706PubMedCrossRef

Andersen LH, Rovsing L, Olsen KS (2011) Glidescope videolaryngoscope vs. Macintosh direct laryngoscope for intubation of morbidly obese patients: a randomized trial. Acta Anaesthesiol Scand 55:1090–1097PubMedCrossRef

Armstrong J, John J, Karsli C (2010) A comparison between the GlideScope Video Laryngoscope and direct laryngoscope in paediatric patients with difficult airways – a pilot study. Anaesthesia 65:353–357PubMedCrossRef

Asai T (2010) Pentax-AWS videolaryngoscope for awake nasal intubation in patients with unstable necks. Br J Anaesth 104:108–111PubMedCrossRef

Asai T, Liu EH, Matsumoto S et al (2009) Use of the Pentax-AWS in 293 patients with difficult airways. Anesthesiology 110:898–904PubMedCrossRef

Aziz MF, Healy D, Kheterpal S et al (2011) Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology 114:34–41PubMedCrossRef

Baciarello M, Zasa M, Manferdini ME et al (2012) The learning curve for laryngoscopy: Airtraq versus Macintosh laryngoscopes. J Anesth 26(4):516–524PubMedCrossRef

Borland LM, Casselbrant M (1990) The Bullard laryngoscope. A new indirect oral laryngoscope (pediatric version). Anesth Analg 70:105–108PubMedCrossRef

Brown CA III, Bair AE, Pallin DJ et al (2010) Improved glottic exposure with the video Macintosh laryngoscope in adult emergency department tracheal intubations. Ann Emerg Med 56:83–88PubMedCrossRef

10.

Bumm P (1992) Intubation aid by a rigid endoscope. Anasthesiol Intensivmed Notfallmed Schmerzther 27:279–285PubMedCrossRef

11.

Caldiroli D, Cortellazzi P (2011) A new difficult airway management algorithm based upon the El Ganzouri Risk Index and GlideScope® videolaryngoscope: a new look for intubation? Minerva Anestesiol 77:1011–1017PubMed

12.

Cavus E, Bein B, Dorges V (2011) Airwaymanagement: video-assisted airway management. Anasthesiol Intensivmed Notfallmed Schmerzther 46:588–596PubMedCrossRef

13.

Cavus E, Callies A, Doerges V et al (2011) The C-Mac videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study. Emerg Med J 28:650–653PubMedCrossRef

14.

Cavus E, Thee C, Moeller T et al (2011) A randomised, controlled crossover comparison of the C-Mac videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia. BMC Anesthesiol 11:6PubMedCrossRef

15.

Cooper RM (2007) Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth 54:54–57PubMedCrossRef

16.

Cooper RM (2003) Use of a new videolaryngoscope (GlideScope) in the management of a difficult airway. Can J Anaesth 50:611–613PubMedCrossRef

17.

Cortellazzi P, Minati L, Falcone C et al (2007) Predictive value of the El-Ganzouri multivariate risk index for difficult tracheal intubation: a comparison of Glidescope videolaryngoscopy and conventional Macintosh laryngoscopy. Br J Anaesth 99:906–911PubMedCrossRef

18.

Dalal PG, Dalal GB, Pott L et al (2011) Learning curves of novice anesthesiology residents performing simulated fibreoptic upper airway endoscopy. Can J Anaesth 58:802–809PubMedCrossRef

19.

DGAInfo (2011) Handlungsempfehlungen zur Prävention und Behandlung des unerwartet schwierigen Atemwegs in der Kinderanästhesie. Anaesth Intensivmed 54–63

20.

El-Ganzouri AR, McCarthy RJ, Tuman KJ et al (1996) Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg 82:1197–1204PubMed

21.

El-Orbany M (2012) Will direct laryngoscopy become an extinct skill? Acta Anaesthesiol Scand 56:260PubMedCrossRef

22.

Erb T, Hampl KF, Schurch M et al (1999) Teaching the use of fiberoptic intubation in anesthetized, spontaneously breathing patients. Anesth Analg 89:1292–1295PubMedCrossRef

23.

Griesdale DE, Liu D, McKinney J, Choi PT (2011) Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 59:41–52PubMed

24.

Henthorn RW, Reed J, Szafranski JS, Ganta R (1995) Combining the fiberoptic bronchoscope with a laryngoscope blade aids teaching direct laryngoscopy. Anesth Analg 80:427–734

25.

Hofstetter C, Scheller B, Flondor M et al (2006) Videolaryngoscopy versus direct laryngoscopy for elective endotracheal intubation. Anaesthesist 55:535–540PubMedCrossRef

26.

Johnson C, Roberts JT (1989) Clinical competence in the performance of fiberoptic laryngoscopy and endotracheal intubation: a study of resident instruction. J Clin Anesth 1:344–349PubMedCrossRef

27.

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 18:357–362PubMedCrossRef

28.

Maassen R, Lee R, Zundert A van, Cooper R (2009) The videolaryngoscope is less traumatic than the classic laryngoscope for a difficult airway in an obese patient. J Anesth 23:445–448PubMedCrossRef

29.

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 61:671–677PubMedCrossRef

30.

Malik MA, Subramaniam R, Maharaj CH et al (2009) Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth 103:761–768PubMedCrossRef

31.

Miller RA (1946) A new laryngoscope for intubation of infants. Anesthesiology 7:205PubMedCrossRef

32.

Moore AR, Schricker T, Court O (2012) Awake videolaryngoscopy-assisted tracheal intubation of the morbidly obese. Anaesthesia 67:232–235PubMedCrossRef

33.

Naik VN, Matsumoto ED, Houston PL et al (2001) Fiberoptic orotracheal intubation on anesthetized patients: do manipulation skills learned on a simple model transfer into the operating room? Anesthesiology 95:343–348PubMedCrossRef

34.

Nasim S, Maharaj CH, Malik MA et al (2009) Comparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation. BMC Emerg Med 9:9PubMedCrossRef

35.

Noppens RR, Werner C, Piepho T (2010) Indirect laryngoscopy: alternatives to securing the airway. Anaesthesist 59:149–161PubMedCrossRef

36.

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 110:32–37PubMedCrossRef

37.

Osborn IP, Behringer EC, Kramer DC (2007) Difficult airway management following supratentorial craniotomy: a useful maneuver with a new device. Anesth Analg 105:552–553PubMedCrossRef

38.

Rai MR, Popat MT (2011) Evaluation of airway equipment: man or manikin? Anaesthesia 66:1–3PubMedCrossRef

39.

Russell T, Khan S, Elman J et al (2012) Measurement of forces applied during Macintosh direct laryngoscopy compared with GlideScope® videolaryngoscopy. Anaesthesia 67:626–631PubMedCrossRef

40.

Russell T, Lee C, Firat M, Cooper RM (2011) A comparison of the forces applied to a manikin during laryngoscopy with the GlideScope and Macintosh laryngoscopes. Anaesth Intensive Care 39:1098–1102PubMed

41.

Saunders PR, Geiseke AH (1989) Clinical assessment of the adult Bullard laryngoscope. Can J Anaesth 36:119–120

42.

Zundert A van, Maassen R, Lee R et al (2009) A Macintosh laryngoscope blade for videolaryngoscopy reduces stylet use in patients with normal airways. Anesth Analg 109:825–831PubMedCrossRef

43.

Zundert A van, Pieters B, Zundert T van, Gatt S (2012) Avoiding palatopharyngeal trauma during videolaryngoscopy: do not forget the „blind spots“. Acta Anaesthesiol Scand 56:532–634PubMedCrossRef

44.

Vincent RD Jr, Wimberly MP, Brockwell RC, Magnuson JS (2007) Soft palate perforation during orotracheal intubation facilitated by the glidescope videolaryngoscope. J Clin Anesth 19:619–621PubMedCrossRef

45.

Vlatten A, Aucoin S, Litz S et al (2009) A comparison of the Storz video laryngoscope and standard direct laryngoscopy for intubation in the pediatric airway – a randomized clinical trial. Paediatr Anaesth 19:1102–1107PubMedCrossRef

46.

Wahlen BM, Roewer N, Kranke P (2010) A survey assessing the procurement, storage and preferences of airway management devices by anaesthesia departments in German hospitals. Eur J Anaesthesiol 27:526–533PubMed

47.

Weiss M (1997) Management of difficult tracheal intubation with a video-optically modified Schroeder intubation stylet. Anesth Analg 85:1181–1182PubMed

48.

Weiss M (1998) Video-intuboscopy: a new aid to routine and difficult tracheal intubation. Br J Anaesth 80:525–527PubMedCrossRef

49.

Weiss M, Hartmann K, Fischer J, Gerber AC (2001) Video-intuboscopic assistance is a useful aid to tracheal intubation in pediatric patients. Can J Anaesth 48:691–696PubMedCrossRef

50.

Weiss M, Schwarz U, Gerber C (1998) Video-intubating laryngoscopy – A new concept for routine and difficult tracheal intubation management. Anesthesiology V98, No3A, September

51.

Weiss M, Hartmann K, Fischer JE, Gerber AC (2001) Use of angulated video-intubation laryngoscope in children undergoing manual in-line neck stabilization. Br J Anaesth 87:453–458PubMedCrossRef

52.

Weiss M, Mauch J, Becke K et al (2009) Fibre optic-assisted endotracheal intubation through the laryngeal mask in children. Anaesthesist 58:716–721PubMedCrossRef

53.

Weiss M, Schwarz U, Dillier CM, Gerber AC (2001) Teaching and supervising tracheal intubation in paediatric patients using videolaryngoscopy. Paediatr Anaesth 11:343–348PubMedCrossRef

54.

Weiss M, Schwarz U, Dillier CM, Gerber AC (2000) Video-intuboscopic monitoring of tracheal intubation in pediatric patients. Can J Anaesth 47:1202–1206PubMedCrossRef

55.

Xue FS, Xiong J, Yuan YJ et al (2010) Pentax-AWS videolaryngoscope for awake nasotracheal intubation in patients with a difficult airway. Br J Anaesth 104:50CrossRef

Titel: Videolaryngoskopie olé!
Direkte und flexible Intubationsverfahren ade?
verfasst von: PD Dr. S.G. Russo, D.E.A.A.
Prof. Dr. M. Weiss
PD Dr. C. Eich, D.E.A.A., FERC
Publikationsdatum: 01.12.2012
Verlag: Springer Berlin Heidelberg
Erschienen in: Die Anaesthesiologie / Ausgabe 12/2012
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-012-2110-5

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