Research ExplorerPublicationsGlidescope Video Laryngoscopy in Patients with Severely Rest...

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

Standard

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, Vol. 12, No. 15, 5096, 03.08.2023.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

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, vol. 12, no. 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 -