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Can J Anaesth. 2003 Jun-Jul;50(6):611-3.

Use of a new videolaryngoscope (GlideScope) in the management of a difficult airway.

Author information

1
University of Toronto, Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada. richard.cooper@uhn.on.ca

Abstract

PURPOSE:

To describe the clinical use of a new videolaryngoscope in a patient who had repeatedly been difficult or impossible to intubate by conventional direct laryngoscopy. This device provided excellent glottic visualization and permitted easy endotracheal intubation.

CLINICAL FEATURES:

A 74-yr-old male presenting for repeat elective surgery had a history of failed intubations by direct laryngoscopy and pulmonary aspiration with a laryngeal mask airway. He refused awake flexible fibreoptic intubation. After the induction of general anesthesia, laryngoscopy was performed using a GlideScope. This provided complete glottic exposure and easy endotracheal intubation.

CONCLUSION:

This new videolaryngoscope provided excellent laryngeal exposure in a patient whom multiple experienced anesthesiologists had repeatedly found to be difficult or impossible to intubate using direct laryngoscopy. The clinical role of this device awaits confirmation in a large series of difficult airways.

PMID:
12826557
[Indexed for MEDLINE]

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