Abstract
Difficult airway management in critically ill patients remains a difficult task associated with high morbidity and mortality rates. In difficult airway populations, prompt effective intubation is more important to prevent hypoxia and neurological injury. During the ongoing COVID-19 pandemic, prolonged intubation time and repeated intubation can lead to an increase in the risk of infection. Therefore, digital devices can shorten intubation times and decrease the risk of infection among clinical staff. The advantages of the Trachway videolight intubating stylet suit these conditions. Trachway stylet intubation is an effective method for video laryngoscopy to enhance patient safety and improve the intubation success rate. However, a few studies have focused on the effect of stylet intubation by reducing repeated intubation and oxygen desaturation. In this study, we reviewed current data of Trachway intubation and shared our four major training scenarios in Taipei Tzu Chi Hospital via the Trachway videolight intubating stylet system for emergency intubation, comparing them with other modes of intubation.
Highlights
During this critical era of the ongoing COVID-19 pandemic, airway intubation faces a challenge for high risk of COVID19 infection, increased number of infected patients, straining health-care systems, and crashing local economies
Several types of video laryngoscopy have been reported to shorten intubation times and decrease the risk of infection among clinical staff [1,2,3]. e Trachway videolight intubating stylet system (Biotronic Instrument Enterprise Ltd., Tai-Chung, Taiwan) is a J-shape stylet fabricated using stainless steel, which is promoted for tracheal intubation because it passes through the oral cavity. e Trachway consists of three parts: a video recorder at the end of the stylet, grip, and screen. e video stylet can allow physicians to visualize the vocal cords and endotracheal tube passage
Direct laryngoscope intubation is difficult under several conditions. e advantage of the Trachway videolight intubating stylet suits these conditions and provides effective intubation, compared to direct laryngoscopy
Summary
During this critical era of the ongoing COVID-19 pandemic, airway intubation faces a challenge for high risk of COVID19 infection, increased number of infected patients, straining health-care systems, and crashing local economies. E advantage of the Trachway videolight intubating stylet suits these conditions and provides effective intubation, compared to direct laryngoscopy. The Trachway videolight intubating stylet can be transformed to video laryngoscopy by changing the J-shape stylet to the laryngoscope blade. E transformation from Trachway video laryngoscopy to Trachway video intubating stylet is easy and quick In this ongoing pandemic, the Trachway may significantly decrease the risk of COVID-19 infection by improving the preparedness of frontline doctors during emergency intubation, especially in emergency medical students, residents, and fellows. We used the Trachway videolight intubating stylet system to create four major scenarios for emergency intubation in COVID-19 patients, comparing them with other modes of intubation
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