Abstract

The GlideScope video laryngoscope has had a profound impact on clinical airway management by virtue of providing a glottic view superior to direct laryngoscopy. Since its introduction circa 2003, hundreds of studies have attested to its value in making clinical airway management easier and safer. This review will update the reader on the art and science of using the GlideScope videolaryngoscope in a variety of clinical settings and its relation to other airway management products. Topics covered include GlideScope design considerations, general usage tips, use in obese patients, use in pediatric patients, use as an adjunct to fiberoptic intubation, and other matters. Complications associated with the GlideScope are also discussed.

Highlights

  • For many individuals, the advent of modern airway management begins with Miller’s straight-blade laryngoscope [1], which is itself an improvement over earlier developments [2]

  • This review aims to update the reader with respect to the art and science of the GlideScope videolaryngoscope, its relation to other airway management products and it application to various clinical scenarios

  • While the GS generally provides a superior glottic view compared to direct laryngoscope (DL), predictive features specific to difficult GS intubation have not been identified to the extent that they have for DL

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Summary

INTRODUCTION

The advent of modern airway management begins with Miller’s straight-blade laryngoscope [1], which is itself an improvement over earlier developments [2]. Descriptions of the early use of the GlideScope videolaryngoscope have been provided by a number of authors [18 24]. An overwhelming number of publications on the design and use of the GlideScope (GS) and other videolaryngoscopes have been published, as noted in some of the above cited reviews. This review aims to update the reader with respect to the art and science of the GlideScope videolaryngoscope, its relation to other airway management products and it application to various clinical scenarios. We have not reviewed other videolaryngoscope designs except if they are related to the GlideScope in comparative studies

GLIDESCOPE DESIGN
John Doyle
GLIDESCOPE USE
USAGE TIPS
ENDOTROL TUBES
PREDICTION OF DIFFICULT GS INTUBATION
FORCE AND PRESSURE DISTRIBUTION
GLIDESCOPE USE IN OBESE PATIENTS
10. GLIDESCOPE USE IN INFANTS AND CHILDREN
11. CERVICAL SPINE MOVEMENT
12. GS USE AS AN ADJUNCT TO FOB
14. GLIDESCOPE-ASSISTED PLACEMENT OF NASOTRACHEAL TUBES
15. GLIDESCOPE-ASSISTED PLACEMENT OF DOUBLE-LUMEN TRACHEAL TUBES
16. GLIDESCOPE-ASSISTED RETRIEVAL OF FOREIGN BODIES FROM THE AIRWAY
17. GLIDESCOPE-ASSISTED PLACEMENT OF NASOGASTRIC TUBES
18. LEARNING CURVES FOR USING THE GLIDESCOPE
19. COMPLICATIONS ASSOCIATED WITH THE GLIDESCOPE
20. THE LARYGOSCOPY DEBATE
CONCLUSION
Findings
CONFLICT OF INTEREST
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