Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

Direct laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticip...

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Main Authors: Bo-Jyun Jhuang, Hsiang-Ning Luk, Jason Zhensheng Qu, Alan Shikani
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/11/2175
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author Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
author_facet Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
author_sort Bo-Jyun Jhuang
collection DOAJ
description Direct laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticipated or unexpected difficulties in airway management has occurred. In recent decades, optical stylets and video-assisted intubating stylets have become another option for difficult airway scenarios. In contrast to other approaches, we have adopted the Shikani video-assisted intubating stylet technique (VS) for both routine and difficult airway management scenarios. In this case series report, we present the video-twin technique, combining a videolaryngoscope with a video-assisted intubating stylet in various clinical case scenarios. We propose that such a combination is easy to learn and employ and is particularly beneficial in situations where an expected difficult airway (EDA) is encountered.
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spelling doaj.art-db62639e00b84888955cf955c9c8edf22023-11-24T04:51:01ZengMDPI AGHealthcare2227-90322022-10-011011217510.3390/healthcare10112175Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the LiteratureBo-Jyun Jhuang0Hsiang-Ning Luk1Jason Zhensheng Qu2Alan Shikani3Department of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USADivision of Otolaryngology-Head and Neck Surgery, LifeBridge Sinai Hospital, Baltimore, MD 21218, USADirect laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticipated or unexpected difficulties in airway management has occurred. In recent decades, optical stylets and video-assisted intubating stylets have become another option for difficult airway scenarios. In contrast to other approaches, we have adopted the Shikani video-assisted intubating stylet technique (VS) for both routine and difficult airway management scenarios. In this case series report, we present the video-twin technique, combining a videolaryngoscope with a video-assisted intubating stylet in various clinical case scenarios. We propose that such a combination is easy to learn and employ and is particularly beneficial in situations where an expected difficult airway (EDA) is encountered.https://www.mdpi.com/2227-9032/10/11/2175airway managementdifficult airwaytracheal intubationlaryngoscopyvideolaryngoscopevideo-assisted intubating stylet
spellingShingle Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
Healthcare
airway management
difficult airway
tracheal intubation
laryngoscopy
videolaryngoscope
video-assisted intubating stylet
title Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
title_full Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
title_fullStr Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
title_full_unstemmed Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
title_short Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature
title_sort video twin technique for airway management combining video intubating stylet with videolaryngoscope a case series report and review of the literature
topic airway management
difficult airway
tracheal intubation
laryngoscopy
videolaryngoscope
video-assisted intubating stylet
url https://www.mdpi.com/2227-9032/10/11/2175
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AT jasonzhenshengqu videotwintechniqueforairwaymanagementcombiningvideointubatingstyletwithvideolaryngoscopeacaseseriesreportandreviewoftheliterature
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