VieScope in Patients With an Expected Difficult Airway

Launched by UNIVERSITÄTSKLINIKUM HAMBURG-EPPENDORF · Sep 5, 2021

Keywords

ClinConnect Summary

Tracheal intubation is required for different surgical procedures for mechanical ventilation and to prevent aspiration of secretions. In patients with an expected difficult airway, tracheal intubation is often performed by videolaryngoscopy (VL). However, this technique has limitations and may fail due to insufficient visualization of the larynx. A new device has been introduced that consists of an illuminated straight plastic tube for laryngoscopy (VSC, Vie Scope, Adroit Surgical, Oklahoma City, OK, USA) that enables for indirect intubation over a stylet.

So far, the VSC has shown promisi...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients requiring general anesthesia with transoral tracheal intubation for elective surgery
• • Age ≥ 18
• • Preoperative airway assessment reveals an expected difficult airway (rated by the responsible anesthetist in the Pre-assessment Clinic based on the existing in-house algorithm)
• Exclusion Criteria:
• • Pregnant or breastfeeding woman
• • Confirmed indications for awake fiberoptic intubation especially due to enoral, pharyngeal tumors, abscesses or other processes
• • Planned endotracheal intubation without deep anesthesia or neuromuscular blocking agents (e.g. awake videolaryngoscopy)
• • Required transnasal tracheal intubation (e.g. for surgical reasons)
• • Requirement of special endotracheal tubes such as laser or RAE tubes for surgical reasons
• • Patients at risk for pulmonary aspiration who qualify for rapid sequence induction
• • Loose teeth
• • Denial of consent