Optical Devices in Tracheal Intubation—State of the Art in 2020
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 a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/11/3/575 |
| _version_ | 1797540411418345472 |
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| author | Jan Matek Frantisek Kolek Olga Klementova Pavel Michalek Tomas Vymazal |
| author_facet | Jan Matek Frantisek Kolek Olga Klementova Pavel Michalek Tomas Vymazal |
| author_sort | Jan Matek |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T12:59:46Z |
| format | Article |
| id | doaj.art-30ece617946b447b995cea160d610adb |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T12:59:46Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-30ece617946b447b995cea160d610adb2023-11-21T11:34:28ZengMDPI AGDiagnostics2075-44182021-03-0111357510.3390/diagnostics11030575Optical Devices in Tracheal Intubation—State of the Art in 2020Jan Matek0Frantisek Kolek1Olga Klementova2Pavel Michalek3Tomas Vymazal41st Department of Surgery—Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, 12800 Prague, Czech RepublicDepartment of Anesthesiology and Intensive Medicine, University Hospital Motol, V Úvalu 84, 15000 Praha, Czech RepublicDepartment of Anesthesiology and Intensive Medicine, University Hospital Olomouc, I.P. Pavlova 185, Nová Ulice, 77900 Olomouc, Czech RepublicDepartment of Anesthesiology and Intensive Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital, U Nemocnice 499/2, 12808 Praha, Czech RepublicDepartment of Anesthesiology and Intensive Medicine, University Hospital Motol, V Úvalu 84, 15000 Praha, Czech RepublicThe 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.https://www.mdpi.com/2075-4418/11/3/575supraglottic airwayoptical intubationoptical stylethybrid deviceflexible fiberoptic intubationfiberoptic tracheal tubes |
| spellingShingle | Jan Matek Frantisek Kolek Olga Klementova Pavel Michalek Tomas Vymazal Optical Devices in Tracheal Intubation—State of the Art in 2020 Diagnostics supraglottic airway optical intubation optical stylet hybrid device flexible fiberoptic intubation fiberoptic tracheal tubes |
| title | Optical Devices in Tracheal Intubation—State of the Art in 2020 |
| title_full | Optical Devices in Tracheal Intubation—State of the Art in 2020 |
| title_fullStr | Optical Devices in Tracheal Intubation—State of the Art in 2020 |
| title_full_unstemmed | Optical Devices in Tracheal Intubation—State of the Art in 2020 |
| title_short | Optical Devices in Tracheal Intubation—State of the Art in 2020 |
| title_sort | optical devices in tracheal intubation state of the art in 2020 |
| topic | supraglottic airway optical intubation optical stylet hybrid device flexible fiberoptic intubation fiberoptic tracheal tubes |
| url | https://www.mdpi.com/2075-4418/11/3/575 |
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