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Cited by 64Airway Management and Intubation TechniquesTracheal and airway disordersAnesthesia and Sedative Agents

Evaluation of the GlideScope ® for tracheal intubation in patients with cervical spine immobilisation by a semi‐rigid collar

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Bathory, I., Frascarolo, P., Kern, C., Schoettker, P.·2009·Anaesthesia
DOI 10.1111/j.1365-2044.2009.06075.x
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Abstract

Summary: Application of cervical collars may reduce cervical spine movements but render tracheal intubation with a standard laryngoscope difficult if not impossible. We hypothesised that despite the presence of a Philadelphia Patriot ® cervical collar and with the patient’s head taped to the trolley, tracheal intubation would be possible in 50 adult patients using the GlideScope ® and its dedicated stylet. Laryngoscopy was attempted using a Macintosh laryngoscope with a size 4 blade, and the modified Cormack–Lehane grade was scored. Subsequently, laryngoscopy with the GlideScope was graded and followed by tracheal intubation. All patients’ tracheas were successfully intubated with the GlideScope. The median (IQR) intubation time was 50 s (43–61 s). The modified Cormack–Lehane grade was 3 or 4 at direct laryngoscopy. It was significantly reduced with the GlideScope (p < 0.0001), reaching grade 2a in most patients. Tracheal intubation in patients wearing a semi‐rigid collar and having their head taped to the trolley is possible with the help of the GlideScope.

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Crossref · 10.1111/j.1365-2044.2009.06075.x

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  • Indirect hyperangulated video laryngoscopy (VL) consistently provides an improved glottic view.

    “indirect hyperangulated video laryngoscopy (VL) consistently provides an improved glottic view”

    From Airway Management in Trauma (2018) · cites this paper as [43]

    The Results and Table 2 (page not available in our copy) show that GlideScope views were better than direct Macintosh views in all 50 patients studied. However, the study tested one device under simulated cervical-spine immobilisation; it does not establish that indirect hyperangulated VL consistently improves glottic views across devices and settings. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • C-spine immobilization consistently impairs the glottic view with DL.

    “c-spine immobilization consistently impairs the glottic view with DL”

    From Airway Management in Trauma (2018) · cites this paper as [43]

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Cites

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Research works printed but not linked: 29

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Cited by

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Authors
Bathory, I., Frascarolo, P., Kern, C., & Schoettker, P.
Affiliations
Centre Hospitalier Universitaire Vaudois (CH)
Corresponding author
Bathory, I.
ORCID
Schoettker, P.
Venue
Anaesthesia
Publisher
Wiley
Published
2009-11-06
Volume
64
Issue
12
Pages
1337-1341
ISSN
  • 0003-2409 (ISSN-L)
  • 1365-2044
DOI
10.1111/j.1365-2044.2009.06075.x
OpenAlex
W2088993051
Cited by
64
References
0
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 5 · 2020: 1 · 2018: 1 · 2017: 3 · 2016: 13 · 2015: 5 · 2014: 4 · 2013: 8 · 2012: 9
FWCI
5.60
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Anaesthesia (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS (submittedVersion)
  • SERVAL (Université de Lausanne) (submittedVersion)
Funders
Université de Lausanne
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Tracheal and airway disorders
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
Keywords
GlideScope, video laryngoscopy, endotracheal intubation, cervical spine immobilization, Cormack-Lehane grade, difficult airway, intubation time
MeSH terms
Adult, Cervical Vertebrae, Female, Humans, Immobilization, Intubation, Intratracheal, Male, Middle Aged, Orthotic Devices, Posture, Time Factors, Laryngoscopes

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