Optical Devices in Tracheal Intubation-State of the Art in 2020

J 2021

Optical Devices in Tracheal Intubation-State of the Art in 2020

MATEK, Jan, Frantisek KOLEK, Olga KLEMENTOVA, Pavel MICHALEK, Tomas VYMAZAL et. al.

Basic information

Original name

Optical Devices in Tracheal Intubation-State of the Art in 2020

Authors

MATEK, Jan (203 Czech Republic, belonging to the institution), Frantisek KOLEK (203 Czech Republic), Olga KLEMENTOVA (203 Czech Republic), Pavel MICHALEK (203 Czech Republic) and Tomas VYMAZAL (203 Czech Republic)

Edition

Diagnostics, Basel, MDPI, 2021, 2075-4418

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.992

RIV identification code

RIV/00216224:14110/21:00121778

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.3390/diagnostics11030575

UT WoS

000633552400001

Keywords in English

supraglottic airway; optical intubation; optical stylet; hybrid device; flexible fiberoptic intubation; fiberoptic tracheal tubes

Abstract

V originále

The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools. Rigid and semi-rigid optical stylets represent another option in airway management. They offer benefits in restricted mouth opening and may be used also for retromolar intubation. Awake flexible fiberoptic intubation has been a gold standard in predicted difficult laryngoscopy for decades. Modern flexible bronchoscopes used in anesthesia and intensive care are disposable devices and contain optical lenses instead of fibers. Endotracheal tubes with an incorporated optics are used mainly in thoracic anesthesia for lung separation. They are available in double-lumen and single-lumen versions. They offer a benefit of direct view to the carina and do not require flexible fiberscope for their correct placement.

Citovat

MATEK, Jan, Frantisek KOLEK, Olga KLEMENTOVA, Pavel MICHALEK and Tomas VYMAZAL. Optical Devices in Tracheal Intubation-State of the Art in 2020. Diagnostics. Basel: MDPI, 2021, vol. 11, No 3, p. 1-19. ISSN 2075-4418. Available from: https://dx.doi.org/10.3390/diagnostics11030575.

@article{1776258,
   author = {Matek, Jan and Kolek, Frantisek and Klementova, Olga and Michalek, Pavel and Vymazal, Tomas},
   article_location = {Basel},
   article_number = {3},
   doi = {http://dx.doi.org/10.3390/diagnostics11030575},
   keywords = {supraglottic airway; optical intubation; optical stylet; hybrid device; flexible fiberoptic intubation; fiberoptic tracheal tubes},
   language = {eng},
   issn = {2075-4418},
   journal = {Diagnostics},
   title = {Optical Devices in Tracheal Intubation-State of the Art in 2020},
   url = {https://www.mdpi.com/2075-4418/11/3/575},
   volume = {11},
   year = {2021}
}

TY  - JOUR
ID  - 1776258
AU  - Matek, Jan - Kolek, Frantisek - Klementova, Olga - Michalek, Pavel - Vymazal, Tomas
PY  - 2021
TI  - Optical Devices in Tracheal Intubation-State of the Art in 2020
JF  - Diagnostics
VL  - 11
IS  - 3
SP  - 1-19
EP  - 1-19
PB  - MDPI
SN  - 20754418
KW  - supraglottic airway
KW  - optical intubation
KW  - optical stylet
KW  - hybrid device
KW  - flexible fiberoptic intubation
KW  - fiberoptic tracheal tubes
UR  - https://www.mdpi.com/2075-4418/11/3/575
N2  - The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools. Rigid and semi-rigid optical stylets represent another option in airway management. They offer benefits in restricted mouth opening and may be used also for retromolar intubation. Awake flexible fiberoptic intubation has been a gold standard in predicted difficult laryngoscopy for decades. Modern flexible bronchoscopes used in anesthesia and intensive care are disposable devices and contain optical lenses instead of fibers. Endotracheal tubes with an incorporated optics are used mainly in thoracic anesthesia for lung separation. They are available in double-lumen and single-lumen versions. They offer a benefit of direct view to the carina and do not require flexible fiberscope for their correct placement.
ER  -

MATEK, Jan, Frantisek KOLEK, Olga KLEMENTOVA, Pavel MICHALEK and Tomas VYMAZAL. Optical Devices in Tracheal Intubation-State of the Art in 2020. \textit{Diagnostics}. Basel: MDPI, 2021, vol.~11, No~3, p.~1-19. ISSN~2075-4418. Available from: https://dx.doi.org/10.3390/diagnostics11030575.

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