Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study
Background and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=5;spage=325;epage=329;aulast=Pieters |
| _version_ | 1811238515429605376 |
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| author | Barbe MA Pieters Andre AJ van Zundert |
| author_facet | Barbe MA Pieters Andre AJ van Zundert |
| author_sort | Barbe MA Pieters |
| collection | DOAJ |
| description | Background and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of the oral cavity by different videolaryngoscopes (VLS) in a manikin model. Methods: We measured light intensity from the mouth opening of a Laerdal intubation trainer comparing different direct and indirect VLS at three occasions, resembling optimal to less-than-optimal intubation conditions; at the photographer′s dark room, in an operating theatre and outdoors in bright sunlight. Results: Substantial differences in luminance were detected between VLS. The use of LED light significantly improved light production. All VLS produced substantial higher luminance values in a well-luminated environment compared to the dark photographer′s room. The experiments outside-in bright sunlight-were interfered with by direct sunlight penetration through the synthetic material of the manikin, making correct measurement of luminance in the oropharynx invalid. Conclusion: Illumination of the oral cavity differs widely among direct and indirect VLS. The clinician should be aware of the possibility of suboptimal illumination of the oral cavity and the potential risk this poses for the patient. |
| first_indexed | 2024-04-12T12:43:02Z |
| format | Article |
| id | doaj.art-7cbaedb3405549069f9ec35df6a89dfc |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-04-12T12:43:02Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-7cbaedb3405549069f9ec35df6a89dfc2022-12-22T03:32:43ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492016-01-0160532532910.4103/0019-5049.181593Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin studyBarbe MA PietersAndre AJ van ZundertBackground and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of the oral cavity by different videolaryngoscopes (VLS) in a manikin model. Methods: We measured light intensity from the mouth opening of a Laerdal intubation trainer comparing different direct and indirect VLS at three occasions, resembling optimal to less-than-optimal intubation conditions; at the photographer′s dark room, in an operating theatre and outdoors in bright sunlight. Results: Substantial differences in luminance were detected between VLS. The use of LED light significantly improved light production. All VLS produced substantial higher luminance values in a well-luminated environment compared to the dark photographer′s room. The experiments outside-in bright sunlight-were interfered with by direct sunlight penetration through the synthetic material of the manikin, making correct measurement of luminance in the oropharynx invalid. Conclusion: Illumination of the oral cavity differs widely among direct and indirect VLS. The clinician should be aware of the possibility of suboptimal illumination of the oral cavity and the potential risk this poses for the patient.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=5;spage=325;epage=329;aulast=PietersAirwayanaesthetic techniques-laryngoscopyequipment-laryngoscopesintubation |
| spellingShingle | Barbe MA Pieters Andre AJ van Zundert Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study Indian Journal of Anaesthesia Airway anaesthetic techniques-laryngoscopy equipment-laryngoscopes intubation |
| title | Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study |
| title_full | Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study |
| title_fullStr | Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study |
| title_full_unstemmed | Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study |
| title_short | Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study |
| title_sort | videolaryngoscopes differ substantially in illumination of the oral cavity a manikin study |
| topic | Airway anaesthetic techniques-laryngoscopy equipment-laryngoscopes intubation |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=5;spage=325;epage=329;aulast=Pieters |
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