26,28) Future research with the NEAR registry will be useful for clarifying whether some of the trends observed in our study are generalizable to other settings (eg, the superiority of video to direct laryngoscopy
for first-pass success).
Video laryngoscopy versus direct laryngoscopy
for orotracheal intubation in the Intensive Care Unit: A systematic review and meta-analysis.
16] JE Smith, in his study has shown that the cardiovascular changes are more pronounced during fibreoptic tracheal intubation than during direct laryngoscopy
with a Macintosh laryngoscope and intubation.
Heart rate/blood pressure response and airway morbidity following tracheal intubation with direct laryngoscopy
, GlideScope and Trachlight: a randomised control trial.
Also, patients were excluded from the study if they required rapid sequence induction, had a history of previous difficult direct laryngoscopy
and had uncontrolled hypertension, ischemic heart disease, acute or recent stroke or myocardial infarction, cervical spine instability or cervical myelopathy, symptomatic asthma or reactive airway disease and history of gastric reflux.
Circulatory changes during direct laryngoscopy
and tracheal intubation: influence of duration of laryngoscopy with or without lidocaine.
The tubular, remote view of the glottis with direct laryngoscopy
provides a 15[degrees] visual field.
An inhalational induction to maintain spontaneous ventilation and then followed by direct laryngoscopy
or fibre-optic intubation is another option and reduces the required cooperation of the patient.
The patient cannot be intubated despite more than three attempts at direct laryngoscopy
or more than three attempts at tracheal tube insertion.
They cover basic principles and procedures, including the evolution of phonomicrosurgery, anatomy and physiology, and guidelines for patient selection, evaluation and treatment, informed consent, anesthesia, instrumentation and postoperative care, and laser surgery, and new material on extubation after direct laryngoscopy
The aim of the single-author first edition was "to assist those learning to manage the airway to understand the basics--mask ventilation and optimal direct laryngoscopy
--as well as to comprehend alternative techniques for situations in which direct laryngoscopy
is difficult, or cannot be utilized".
Given the high suspicion for malignancy based on the patients clinical, physical, and radiographic findings, a direct laryngoscopy
with biopsy was arranged.