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Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study

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Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study. / Popal, Zohal; Dankert, André; Hilz, Philip; Wünsch, Viktor Alexander; Grensemann, Jörn; Plümer, Lili; Nawrath, Lars; Krause, Linda; Zöllner, Christian; Petzoldt, Martin.

in: J CLIN MED, Jahrgang 12, Nr. 15, 5096, 03.08.2023.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Popal, Z, Dankert, A, Hilz, P, Wünsch, VA, Grensemann, J, Plümer, L, Nawrath, L, Krause, L, Zöllner, C & Petzoldt, M 2023, 'Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study', J CLIN MED, Jg. 12, Nr. 15, 5096. https://doi.org/10.3390/jcm12155096

APA

Popal, Z., Dankert, A., Hilz, P., Wünsch, V. A., Grensemann, J., Plümer, L., Nawrath, L., Krause, L., Zöllner, C., & Petzoldt, M. (2023). Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study. J CLIN MED, 12(15), [5096]. https://doi.org/10.3390/jcm12155096

Vancouver

Popal Z, Dankert A, Hilz P, Wünsch VA, Grensemann J, Plümer L et al. Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study. J CLIN MED. 2023 Aug 3;12(15). 5096. https://doi.org/10.3390/jcm12155096

Bibtex

@article{dc0cafc49f0c4aca8bd5ffb07e3c0b94,
title = "Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study",
abstract = "BACKGROUND: An inter-incisor gap <3 cm is considered critical for videolaryngoscopy. It is unknown if new generation GlideScope Spectrum{\texttrademark} videolaryngoscopes with low-profile hyperangulated blades might facilitate safe tracheal intubation in these patients. This prospective pilot study aims to evaluate feasibility and safety of GlideScopeTM videolaryngoscopes in severely restricted mouth opening.METHODS: Feasibility study in 30 adults with inter-incisor gaps between 1.0 and 3.0 cm scheduled for ENT or maxillofacial surgery. Individuals at risk for aspiration or rapid desaturation were excluded.RESULTS: The mean mouth opening was 2.2 ± 0.5 cm (range 1.1-3.0 cm). First attempt success rate was 90% and overall success was 100%. A glottis view grade 1 or 2a was achieved in all patients. Nasotracheal intubation was particularly difficult if Magill forceps were required (n = 4). Intubation time differed between orotracheal (n = 9; 33 (25; 39) s) and nasotracheal (n = 21; 55 (38; 94) s); p = 0.049 intubations. The airway operator's subjective ratings on visual analogue scales (0-100) revealed that tube placement was more difficult in individuals with an inter-incisor gap <2.0 cm (n = 10; 35 (29; 54)) versus ≥2.0 cm (n = 20; 20 (10; 30)), p = 0.007, while quality of glottis exposure did not differ.CONCLUSIONS: GlidescopeTM videolaryngoscopy is feasible and safe in patients with severely restricted mouth opening if given limitations are respected.",
author = "Zohal Popal and Andr{\'e} Dankert and Philip Hilz and W{\"u}nsch, {Viktor Alexander} and J{\"o}rn Grensemann and Lili Pl{\"u}mer and Lars Nawrath and Linda Krause and Christian Z{\"o}llner and Martin Petzoldt",
year = "2023",
month = aug,
day = "3",
doi = "10.3390/jcm12155096",
language = "English",
volume = "12",
journal = "J CLIN MED",
issn = "2077-0383",
publisher = "MDPI AG",
number = "15",

}

RIS

TY - JOUR

T1 - Glidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening—A Pilot Study

AU - Popal, Zohal

AU - Dankert, André

AU - Hilz, Philip

AU - Wünsch, Viktor Alexander

AU - Grensemann, Jörn

AU - Plümer, Lili

AU - Nawrath, Lars

AU - Krause, Linda

AU - Zöllner, Christian

AU - Petzoldt, Martin

PY - 2023/8/3

Y1 - 2023/8/3

N2 - BACKGROUND: An inter-incisor gap <3 cm is considered critical for videolaryngoscopy. It is unknown if new generation GlideScope Spectrum™ videolaryngoscopes with low-profile hyperangulated blades might facilitate safe tracheal intubation in these patients. This prospective pilot study aims to evaluate feasibility and safety of GlideScopeTM videolaryngoscopes in severely restricted mouth opening.METHODS: Feasibility study in 30 adults with inter-incisor gaps between 1.0 and 3.0 cm scheduled for ENT or maxillofacial surgery. Individuals at risk for aspiration or rapid desaturation were excluded.RESULTS: The mean mouth opening was 2.2 ± 0.5 cm (range 1.1-3.0 cm). First attempt success rate was 90% and overall success was 100%. A glottis view grade 1 or 2a was achieved in all patients. Nasotracheal intubation was particularly difficult if Magill forceps were required (n = 4). Intubation time differed between orotracheal (n = 9; 33 (25; 39) s) and nasotracheal (n = 21; 55 (38; 94) s); p = 0.049 intubations. The airway operator's subjective ratings on visual analogue scales (0-100) revealed that tube placement was more difficult in individuals with an inter-incisor gap <2.0 cm (n = 10; 35 (29; 54)) versus ≥2.0 cm (n = 20; 20 (10; 30)), p = 0.007, while quality of glottis exposure did not differ.CONCLUSIONS: GlidescopeTM videolaryngoscopy is feasible and safe in patients with severely restricted mouth opening if given limitations are respected.

AB - BACKGROUND: An inter-incisor gap <3 cm is considered critical for videolaryngoscopy. It is unknown if new generation GlideScope Spectrum™ videolaryngoscopes with low-profile hyperangulated blades might facilitate safe tracheal intubation in these patients. This prospective pilot study aims to evaluate feasibility and safety of GlideScopeTM videolaryngoscopes in severely restricted mouth opening.METHODS: Feasibility study in 30 adults with inter-incisor gaps between 1.0 and 3.0 cm scheduled for ENT or maxillofacial surgery. Individuals at risk for aspiration or rapid desaturation were excluded.RESULTS: The mean mouth opening was 2.2 ± 0.5 cm (range 1.1-3.0 cm). First attempt success rate was 90% and overall success was 100%. A glottis view grade 1 or 2a was achieved in all patients. Nasotracheal intubation was particularly difficult if Magill forceps were required (n = 4). Intubation time differed between orotracheal (n = 9; 33 (25; 39) s) and nasotracheal (n = 21; 55 (38; 94) s); p = 0.049 intubations. The airway operator's subjective ratings on visual analogue scales (0-100) revealed that tube placement was more difficult in individuals with an inter-incisor gap <2.0 cm (n = 10; 35 (29; 54)) versus ≥2.0 cm (n = 20; 20 (10; 30)), p = 0.007, while quality of glottis exposure did not differ.CONCLUSIONS: GlidescopeTM videolaryngoscopy is feasible and safe in patients with severely restricted mouth opening if given limitations are respected.

U2 - 10.3390/jcm12155096

DO - 10.3390/jcm12155096

M3 - SCORING: Journal article

VL - 12

JO - J CLIN MED

JF - J CLIN MED

SN - 2077-0383

IS - 15

M1 - 5096

ER -