The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices.
Publication/Presentation Date
3-1-2011
Abstract
Intubation research on both direct laryngoscopy and alternative intubation devices has focused on laryngeal exposure and not the mechanics of actual endotracheal tube delivery or insertion. Although there are subtleties to tracheal intubation with direct laryngoscopy, the path of tube insertion and the direct line of sight are relatively congruent. With alternative intubation devices, this is not the case. Video or optical elements in alternative intubation devices permit looking around the curve of the tongue, without a direct line of sight to the glottic opening. With these devices, laryngeal exposure is generally the simple part of the procedure, and conversely, tube delivery to the glottic opening and advancement into the trachea are sometimes not straightforward. This article presents the mechanical and optical complexities of endotracheal tube insertion in both direct laryngoscopy and alternative devices. An understanding of these complexities is critical to facilitate rapid tracheal intubation and to minimize unsuccessful attempts.
Volume
57
Issue
3
First Page
240
Last Page
247
ISSN
1097-6760
Published In/Presented At
Levitan, R. M., Heitz, J. W., Sweeney, M., & Cooper, R. M. (2011). The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices. Annals of emergency medicine, 57(3), 240–247. https://doi.org/10.1016/j.annemergmed.2010.05.035
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
20674088
Department(s)
Administration and Leadership
Document Type
Article