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USB-endoscope laryngoscope is as effective as video laryngoscope in difficult intubation
Affiliations- Ankara City Hospital, Ankara, Türkiye
- Balikesir University Faculty of Medicine Department of Emergency Medicine, Balıkesir, Türkiye
open access
Abstract
BACKGROUND: Video laryngoscopy (VL) has recently been put into clinical use to minimize the limitations of direct laryngoscopy and assist physicians interested in airway management. However, the high cost is the biggest constraint especially in countries with limited resources. To lower the cost, a custom-made VL obtained by attaching a USB-endoscope camera ($8.5) to the Macintosh laryngoscope (USB-L) can be used. MATERIAL AND METHODS: All intubations were performed in a difficult intubation model. Intubations were carried out by two emergency physicians. A Glidescope as a VL and a custom-made USB-L were used. In addition to these devices, one bougie to facilitate the advancement of the tube was used. The total intubation time was evaluated. RESULTS: Correct tube placement for both operators was 100% for both devices. A difference between the operators in the duration of intubations could not be found. Also, there is no difference in the duration of intubations between the devices for both operators. CONCLUSION: It was concluded that the USB-L and VL are not statistically different in terms of intubation time in the difficult intubation model using bougie. For countries with limited resources, the low-cost USB-L has come to the forefront due to the high cost of VL and difficulty of access.
Abstract
BACKGROUND: Video laryngoscopy (VL) has recently been put into clinical use to minimize the limitations of direct laryngoscopy and assist physicians interested in airway management. However, the high cost is the biggest constraint especially in countries with limited resources. To lower the cost, a custom-made VL obtained by attaching a USB-endoscope camera ($8.5) to the Macintosh laryngoscope (USB-L) can be used. MATERIAL AND METHODS: All intubations were performed in a difficult intubation model. Intubations were carried out by two emergency physicians. A Glidescope as a VL and a custom-made USB-L were used. In addition to these devices, one bougie to facilitate the advancement of the tube was used. The total intubation time was evaluated. RESULTS: Correct tube placement for both operators was 100% for both devices. A difference between the operators in the duration of intubations could not be found. Also, there is no difference in the duration of intubations between the devices for both operators. CONCLUSION: It was concluded that the USB-L and VL are not statistically different in terms of intubation time in the difficult intubation model using bougie. For countries with limited resources, the low-cost USB-L has come to the forefront due to the high cost of VL and difficulty of access.
Keywords
difficult intubation, video laryngoscope, bougie, mannequin, intubation time
About this articleTitle
USB-endoscope laryngoscope is as effective as video laryngoscope in difficult intubation
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Research paper
Pages
75-79
Published online
2021-06-08
Page views
782
Article views/downloads
518
DOI
Bibliographic record
Disaster Emerg Med J 2021;6(2):75-79.
Keywords
difficult intubation
video laryngoscope
bougie
mannequin
intubation time
Authors
Bülent Güngörer
Meliha Findik
Afsin Emre Kayipmaz
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