The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility
Abstract
1. Introduction
2. Case Presentations
3. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Austin, N.; Krishnamoorthy, V.; Dagal, A. Airway management in cervical spine injury. Int. J. Crit. Illn. Inj. Sci. 2014, 4, 50–56. [Google Scholar] [CrossRef]
- Law, J.A.; Duggan, L.V.; Asselin, M.; Baker, P.; Crosby, E.; Downey, A.; Hung, O.R.; Kovacs, G.; Lemay, F.; Noppens, R.; et al. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: Part 2. Planning and implementing safe management of the patient with an anticipated difficult airway. Can. J. Anaesth. 2021, 68, 1405–1436. [Google Scholar] [CrossRef] [PubMed]
- Apfelbaum, J.L.; Hagberg, C.A.; Connis, R.T.; Abdelmalak, B.B.; Agarkar, M.; Dutton, R.P.; Fiadjoe, J.E.; Greif, R.; Klock, P.A.; Mercier, D.; et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology 2022, 136, 31–81. [Google Scholar] [CrossRef] [PubMed]
- van Zundert, A.; Stessel, B.; De Ruiter, F.; Giebelen, D.; Weber, E. Video-assisted laryngoscopy: A useful adjunct in endotracheal intubation. Acta Anaesthesiol. Belg. 2007, 58, 129–131. [Google Scholar] [PubMed]
- Vermelis, A.M.; Mateijsen, N.; Giebelen, D.; Meeusen, V.; Wong, D.T.; van Zundert, A.A. Successful use of videolaryngoscopy in an adult patient with acute epiglottitis: A case report. Acta Anaesthesiol. Belg. 2010, 61, 67–70. [Google Scholar] [PubMed]
- Turkstra, T.P.; Pelz, D.M.; Jones, P.M. Cervical spine motion: A fluoroscopic comparison of the AirTraq laryngoscope vs. the Macintosh laryngoscope. Anesthesiology 2009, 111, 97–101. [Google Scholar] [CrossRef]
- Paik, H.; Park, H.P. Randomized crossover trial comparing cervical spine motion during tracheal intubation with a Macintosh laryngoscope vs. a C-MAC D-blade videolaryngoscope in a simulated immobilized cervical spine. BMC Anesthesiol. 2020, 20, 201. [Google Scholar] [CrossRef]
- Saricicek, V.; Mizrak, A.; Gul, R.; Goksu, S.; Cesur, M. GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis: A series of four cases and literature review. J. Clin. Monit. Comput. 2014, 28, 169–172. [Google Scholar] [CrossRef]
- Suppan, L.; Tramèr, M.R.; Niquille, M.; Grosgurin, O.; Marti, C. Alternative intubation techniques vs Macintosh laryngoscopy in patients with cervical spine immobilization: Systematic review and meta-analysis of randomized controlled trials. Br. J. Anaesth. 2016, 116, 27–36. [Google Scholar] [CrossRef]
- Singleton, B.N.; Morris, F.K.; Yet, B.; Buggy, D.J.; Perkins, Z.B. Effectiveness of intubation devices in patients with cervical spine immobilisation: A systematic review and network meta-analysis. Br. J. Anaesth. 2021, 126, 1055–1066. [Google Scholar] [CrossRef]
- Kleine-Brueggeney, M.; Greif, R.; Schoettker, P.; Savoldelli, G.L.; Nabecker, S.; Theiler, L.G. Evaluation of six videolaryngoscopes in 720 patients with a simulated difficult airway: A multicentre randomized controlled trial. Br. J. Anaesth. 2016, 116, 670–679. [Google Scholar] [CrossRef]
- Kleine-Brueggeney, M.; Buttenberg, M.; Greif, R.; Nabecker, S.; Theiler, L. Evaluation of three unchannelled videolaryngoscopes and the Macintosh laryngoscope in patients with a simulated difficult airway: A randomised, controlled trial. Anaesthesia 2017, 72, 370–378. [Google Scholar] [CrossRef] [PubMed]
- Kill, C.; Risse, J.; Wallot, P.; Seidl, P.; Steinfeldt, T.; Wulf, H. Videolaryngoscopy with GlideScope reduces cervical spine movement in patients with unsecured cervical spine. J. Emerg. Med. 2013, 44, 750–756. [Google Scholar] [CrossRef] [PubMed]
- Waltl, B.; Melischek, M.; Schuschnig, C.; Kabon, B.; Erlacher, W.; Nasel, C.; Fuchs, M.; Kapral, S. Tracheal intubation and cervical spine excursion: Direct laryngoscopy vs. intubating laryngeal mask. Anaesthesia 2001, 56, 221–226. [Google Scholar] [CrossRef] [PubMed]
- Abramson, S.I.; Holmes, A.A.; Hagberg, C.A. Awake insertion of the Bonfils Retromolar Intubation FiberscopeTM in five patients with anticipated difficult airways. Anesth. Analg. 2008, 106, 1215–1217. [Google Scholar] [CrossRef]
- Rudolph, C.; Schneider, J.P.; Wallenborn, J.; Schaffranietz, L. Movement of the upper cervical spine during laryngoscopy: A comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia 2005, 60, 668–672. [Google Scholar] [CrossRef]
- Wong, D.M.; Prabhu, A.; Chakraborty, S.; Tan, G.; Massicotte, E.M.; Cooper, R. Cervical spine motion during flexible bronchoscopy compared with the Lo-Pro GlideScope®. Br. J. Anaesth. 2009, 102, 424–430. [Google Scholar] [CrossRef]
- Swain, A.; Bhagat, H.; Gupta, V.; Salunke, P.; Panda, N.B.; Sahu, S. Intubating laryngeal mask airway-assisted flexible bronchoscopic intubation is associated with reduced cervical spine motion when compared with C-MAC video laryngoscopy-guided intubation: A prospective randomized cross over Trial. J. Neurosurg. Anesthesiol. 2020, 32, 242–248. [Google Scholar] [CrossRef]
- Agrawal, S.; Salunke, P.; Gupta, S.; Swain, A.; Jangra, K.; Panda, N.; Sahu, S.; Gupta, V.; Bloria, S.; Kataria, K.K.; et al. Fiberoptic bronchoscopy vs. video laryngoscopy guided intubation in patients with craniovertebral junction instability: A cinefluroscopic comparison. Surg. Neurol. Int. 2021, 12, 92. [Google Scholar] [CrossRef]
- Moore, A.; Schricker, T. Awake videolaryngoscopy vs. fiberoptic bronchoscopy. Curr. Opin. Anaesthesiol. 2019, 32, 764–768. [Google Scholar] [CrossRef]
- Alhomary, M.; Ramadan, E.; Curran, E.; Walsh, S.R. Videolaryngoscopy vs. fibreoptic bronchoscopy for awake tracheal intubation: A systematic review and meta-analysis. Anaesthesia 2018, 73, 1151–1161. [Google Scholar] [CrossRef] [PubMed]
- Thong, S.Y.; Wong, T.G. Clinical uses of the Bonfils Retromolar Intubation Fiberscope: A review. Anesth. Analg. 2012, 115, 855–866. [Google Scholar] [CrossRef] [PubMed]
- Hung, O.R.; Pytka, S.; Morris, I.; Murphy, M.; Launcelott, G.; Stevens, S.; MacKay, W.; Stewart, R.D. Clinical trial of a new lightwand device (Trachlight) to intubate the trachea. Anesthesiology 1995, 83, 509–514. [Google Scholar] [CrossRef] [PubMed]
- Shikani, A.H. New “seeing” stylet-scope and method for the management of the difficult airway. Otolaryngol. Head Neck Surg. 1999, 120, 113–116. [Google Scholar] [CrossRef]
- Levitan, R.M. Design rationale and intended use of a short optical stylet for routine fiberoptic augmentation of emergency laryngoscopy. Am. J. Emerg. Med. 2006, 24, 490–495. [Google Scholar] [CrossRef]
- Turkstra, T.P.; Pelz, D.M.; Shaikh, A.A.; Craen, R.A. Cervical spine motion: A fluoroscopic comparison of Shikani Optical Stylet vs. Macintosh laryngoscope. Can. J. Anaesth. 2007, 54, 441–447. [Google Scholar] [CrossRef]
- Luk, H.N.; Yang, Y.L.; Huang, C.H.; Su, I.M.; Tsai, P.B. Application of plastic sheet barrier and video intubating stylet to protect tracheal intubators during Coronavirus Disease 2019 pandemic: A Taiwan experience. Cell Transpl. 2021, 30, 963689720987527. [Google Scholar] [CrossRef]
- Tsai, P.B.; Luk, H.N. Sheet barrier and intubating stylet. Encyclopedia 2021, 1, 1058–1075. [Google Scholar] [CrossRef]
- Yang, C.P.; Luk, H.N.; Qu, J.Z.; Shikani, A. The use of a video-assisted intubating stylet technique in a critically ill and contagious COVID-19 patient. Healthcare 2022, 10, 388. [Google Scholar] [CrossRef]
- Tsay, P.J.; Yang, C.P.; Luk, H.N.; Qu, J.Z.; Shikani, A. Video-assisted intubating stylet technique for difficult intubation: A case series report. Healthcare 2022, 10, 741. [Google Scholar] [CrossRef]
- Houde, B.J.; Williams, S.R.; Cadrin-Chênevert, A.; Guilbert, F.; Drolet, P. A comparison of cervical spine motion during orotracheal intubation with the Trachlight® or the flexible fiberoptic bronchoscope. Anesth. Analg. 2009, 108, 1638–1643. [Google Scholar] [CrossRef] [PubMed]
- Turkstra, T.P.; Craen, R.A.; Pelz, D.M.; Gelb, A.W. Cervical spine motion: A fluoroscopic comparison during intubation with lighted stylet, GlideScope, and Macintosh laryngoscope. Anesth. Analg. 2005, 101, 910–915. [Google Scholar] [CrossRef] [PubMed]
- Nam, K.; Lee, Y.; Park, H.P.; Chung, J.; Yoon, H.K.; Kim, T.K. Cervical spine motion during tracheal intubation using an Optiscope vs. the McGrath videolaryngoscope in patients with simulated cervical immobilization: A prospective randomized crossover study. Anesth. Analg. 2019, 129, 1666–1672. [Google Scholar] [CrossRef] [PubMed]
- Yoon, H.K.; Lee, H.C.; Park, J.B.; Oh, H.; Park, H.P. McGrath MAC videolaryngoscope vs. Optiscope video stylet for tracheal intubation in patients with manual inline cervical stabilization: A randomized trial. Anesth. Analg. 2020, 130, 870–878. [Google Scholar] [CrossRef]
- Xu, M.; Li, X.X.; Guo, X.Y.; Wang, J. Shikani Optical Stylet vs. Macintosh laryngoscope for intubation in patients undergoing surgery for cervical spondylosis: A randomized controlled trial. Chin. Med. J. 2017, 130, 297–302. [Google Scholar] [CrossRef]
- Mahrous, R.S.S.; Ahmed, A.M.M. The Shikani Optical Stylet as an alternative to awake fiberoptic intubation in patients at risk of secondary cervical spine injury: A randomized controlled trial. J. Neurosurg. Anesthesiol. 2018, 30, 354–358. [Google Scholar] [CrossRef]
- Phua, D.S.; Mah, C.L.; Wang, C.F. The Shikani Optical Stylet as an alternative to the GlideScope® videolaryngoscope in simulated difficult intubations-a randomised controlled trial. Anaesthesia 2012, 67, 402–406. [Google Scholar] [CrossRef]
- Park, J.W.; An, S.; Park, S.; Nahm, F.S.; Han, S.H.; Kim, J.H. Comparison of a new video intubation stylet and McGrath® MAC video laryngoscope for intubation in an airway manikin with normal airway and cervical spine immobilization scenarios by novice personnel: A randomized crossover study. Biomed. Res. Int. 2021, 2021, 4288367. [Google Scholar] [CrossRef]
- Wang, M.; Ding, R.; Li, Z.; He, M.; Liu, C. Comparison of intubation of Shikani optical stylet and Clarus Video Stylet in patients with cervical spine immobilization. J. Pract. Med. 2017, 24, 3933–3936. [Google Scholar]
- Kim, J.K.; Kim, J.A.; Kim, C.S.; Ahn, H.J.; Yang, M.K.; Choi, S.J. Comparison of tracheal intubation with the Airway Scope or Clarus Video System in patients with cervical collars. Anaesthesia 2011, 66, 694–698. [Google Scholar] [CrossRef]
- Hung, K.C.; Chang, Y.J.; Chen, I.W.; Lin, C.M.; Liao, S.W.; Chin, J.C.; Chen, J.Y.; Yew, M.; Sun, C.K. Comparison of video-stylet and video-laryngoscope for endotracheal intubation in adults with cervical neck immobilisation: A meta-analysis of randomised controlled trials. Anaesth. Crit. Care Pain Med. 2021, 40, 100965. [Google Scholar] [CrossRef] [PubMed]
- Osborn, I.P.; Naruse, R.; Ferrario, L. Airway management in neurosurgical patients. In Hagberg and Benumof’s Airway Management, 4th ed.; Chapter 40; Elsevier: Philadelphia, PA, USA, 2018; pp. 717–731. [Google Scholar]
- Spiekermann, B.F.; Stone, D.J.; Bogdonoff, D.L.; Yemen, T.A. Airway management in neuroanaesthesia. Can. J. Anaesth. 1996, 43, 820–834. [Google Scholar] [CrossRef] [PubMed]
- Langeron, O.; Semjen, F.; Bourgain, J.L.; Marsac, A.; Cros, A.M. Comparison of the intubating laryngeal mask airway with the fiberoptic intubation in anticipated difficult airway management. Anesthesiology 2001, 94, 968–972. [Google Scholar] [CrossRef] [PubMed]
- Ferson, D.Z.; Rosenblatt, W.H.; Johansen, M.J.; Osborn, I.; Ovassapian, A. Use of the intubating LMA-FastrachTM in 254 patients with difficult-to-manage airways. Anesthesiology 2001, 95, 1175–1181. [Google Scholar] [CrossRef]
- Tang, W.; Wei, P.; Huang, J.; Zhang, N.; Zhou, H.; Zhou, J.; Zheng, Q.; Li, J.; Wang, Z. Nasotracheal intubation-extubation-intubation and asleep-awake-asleep anesthesia technique for deep brain stimulation. BMC Anesthesiol. 2019, 19, 14. [Google Scholar] [CrossRef]
- Brockerville, M.; Unger, Z.; Rowland, N.C.; Sammartino, F.; Manninen, P.H.; Venkatraghavan, L. Airway management with a stereotactic headframe in situ-A mannequin study. J. Neurosurg. Anesthesiol. 2018, 30, 44–48. [Google Scholar] [CrossRef]
- Dalby, T.; Iorio-Morin, C.; Kalia, S.; Venkatraghavan, L.; Dinsmore, M. Airway management with Leksell frame in situ with or without frontal bar: A mannequin study. Can. J. Neurol. Sci. 2022, 49, 579–582. [Google Scholar] [CrossRef]
- Brimacombe, J.; Keller, C.; Künzel, K.H.; Gaber, O.; Boehler, M.; Pühringer, F. Cervical spine motion during airway management: A cinefluoroscopic study of the posteriorly destabilized third cervical vertebrae in human cadavers. Anesth. Analg. 2000, 91, 1274–1278. [Google Scholar] [CrossRef]
- Holmes, M.G.; Dagal, A.; Feinstein, B.A.; Joffe, A.M. Airway management practice in adults with an unstable cervical spine: The Harborview Medical Center experience. Anesth. Analg. 2018, 127, 450–454. [Google Scholar] [CrossRef]
- Seo, K.H.; Kim, K.M.; John, H.; Jun, J.H.; Han, M.; Kim, S. Comparison of C-MAC D-blade videolaryngoscope and McCoy laryngoscope efficacy for nasotracheal intubation in simulated cervical spinal injury: A prospective randomized comparative study. BMC Anesthesiol. 2020, 20, 114. [Google Scholar] [CrossRef]
- Kuo, Y.M.; Lai, H.Y.; Tan, E.C.; Li, Y.S.; Chiang, T.Y.; Huang, S.S.; Huang, W.C.; Chu, Y.C. Cervical spine immobilization does not interfere with nasotracheal intubation performed using GlideScope videolaryngoscopy: A randomized equivalence trial. Sci. Rep. 2022, 12, 4041. [Google Scholar] [CrossRef] [PubMed]
- Robitaille, A.; Williams, S.R.; Tremblay, M.H.; Guilbert, F.; Thériault, M.; Drolet, P. Cervical spine motion during tracheal intubation with manual in-line stabilization: Direct laryngoscopy vs. GlideScope® videolaryngoscopy. Anesth. Analg. 2008, 106, 935–941. [Google Scholar] [CrossRef] [PubMed]
- Komatsu, R.; Kamata, K.; Hamada, K.; Sessler, D.I.; Ozaki, M. Airway scope and StyletScope for tracheal intubation in a simulated difficult airway. Anesth. Analg. 2009, 108, 273–279. [Google Scholar] [CrossRef] [PubMed]
- Koh, J.C.; Lee, J.S.; Lee, Y.W.; Chang, C.H. Comparison of the laryngeal view during intubation using Airtraq and Macintosh laryngoscopes in patients with cervical spine immobilization and mouth opening limitation. Korean J. Anesthesiol. 2010, 59, 314–318. [Google Scholar] [CrossRef]
- Gill, N.; Purohit, S.; Kalra, P.; Lall, T.; Khare, A. Comparison of hemodynamic responses to intubation: Flexible fiberoptic bronchoscope vs. McCoy laryngoscope in presence of rigid cervical collar simulating cervical immobilization for traumatic cervical spine. Anesth. Essays Res. 2015, 9, 337–342. [Google Scholar] [CrossRef]
- Bathory, I.; Frascarolo, P.; Kern, C.; Schoettker, P. Evaluation of the GlideScope® for tracheal intubation in patients with cervical spine immobilisation by a semi-rigid collar. Anaesthesia 2009, 64, 1337–1341. [Google Scholar] [CrossRef]
- Kim, D.H.; Yoo, J.Y.; Ha, S.Y.; Chae, Y.J. Comparison of the paediatric blade of the Pentax-AWS and Ovassapian airway in fibreoptic tracheal intubation in patients with limited mouth opening and cervical spine immobilization by a semi-rigid neck collar: A randomized controlled trial. Br. J. Anaesth. 2017, 119, 993–999. [Google Scholar] [CrossRef]
- Maharaj, C.H.; Buckley, E.; Harte, B.H.; Laffey, J.G. Endotracheal intubation in patients with cervical spine immobilization: A comparison of Macintosh and Airtraq laryngoscopes. Anesthesiology 2007, 107, 53–59. [Google Scholar] [CrossRef]
- McElwain, J.; Laffey, J.G. Comparison of the C-MAC®, Airtraq®, and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization. Br. J. Anaesth. 2011, 107, 258–264. [Google Scholar] [CrossRef]
- Joseph, J.; Sequeira, T.; Upadya, M. Comparison of the use of McCoy and TruView EVO2 laryngoscopes in patients with cervical spine immobilization. Saudi J. Anaesth. 2012, 6, 248–253. [Google Scholar] [CrossRef]
- Kim, Y.J.; Hur, C.; Yoon, H.K.; Lee, H.C.; Park, H.P.; Oh, H. Effects of external laryngeal manipulation on cervical spine motion during videolaryngoscopic intubation under manual in-line stabilization: A randomized crossover trial. J. Clin. Med. 2021, 10, 2931. [Google Scholar] [CrossRef] [PubMed]
- Vijayakumar, V.; Rao, S.; Shetty, N. A Comparison of Macintosh and Airtraq laryngoscopes for endotracheal intubation in adult patients with cervical spine immobilization using manual in line axial stabilization: A prospective randomized study. J. Neurosurg. Anesthesiol. 2016, 28, 296–302. [Google Scholar] [CrossRef] [PubMed]
- Varshney, P.; Ahmed, S.M.; Siddiqui, O.A.; Nadeem, A.; Ajmal, P.M. A comparative evaluation of Airtraq and Hansraj video laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization-A randomized prospective study. J. Anaesthesiol. Clin. Pharmacol. 2021, 37, 336–341. [Google Scholar] [CrossRef] [PubMed]
- Liu, E.H.; Goy, R.W.; Tan, B.H.; Asai, T. Tracheal intubation with videolaryngoscopes in patients with cervical spine immobilization: A randomized trial of the Airway Scope® and the GlideScope®. Br. J. Anaesth. 2009, 103, 446–451. [Google Scholar] [CrossRef]
- Sinha, R.; Ray, B.R.; Sharma, A.; Pandey, R.K.; Punj, J.; Darlong, V.; Trikha, A. Comparison of the C-MAC video laryngoscope size 2 Macintosh blade with size 2 C-MAC D-blade for laryngoscopy and endotracheal intubation in children with simulated cervical spine injury: A prospective randomized crossover study. J. Anaesthesiol. Clin. Pharmacol. 2019, 35, 509–514. [Google Scholar] [CrossRef] [PubMed]
- Chandy, J.; Pillai, R.; Mathew, A.; Philip, A.V.; George, S.P.; Sahajanandan, R. A randomized clinical trial comparing the King Vision (channeled blade) and the CMAC (D blade) videolaryngoscopes in patients with cervical spine immobilization. J. Anaesthesiol. Clin. Pharmacol. 2021, 37, 604–609. [Google Scholar] [CrossRef]
- Malik, M.A.; Maharaj, C.H.; Harte, B.H.; Laffey, J.G. Comparison of Macintosh, Truview EVO2®, Glidescope®, and Airwayscope® laryngoscope use in patients with cervical spine immobilization. Br. J. Anaesth. 2008, 101, 723–730. [Google Scholar] [CrossRef]
- Malik, M.A.; Subramaniam, R.; Churasia, S.; Maharaj, C.H.; Harte, B.H.; Laffey, J.G. Tracheal intubation in patients with cervical spine immobilization: A comparison of the Airwayscope®, LMA CTrach®, and the Macintosh laryngoscopes. Br. J. Anaesth. 2009, 102, 654–661. [Google Scholar] [CrossRef]
- Enomoto, Y.; Asai, T.; Arai, T.; Kamishima, K.; Okuda, Y. Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: A randomized comparative study. Br. J. Anaesth. 2008, 100, 544–548. [Google Scholar] [CrossRef]
- Aoi, Y.; Inagawa, G.; Hashimoto, K.; Tashima, H.; Tsuboi, S.; Takahata, T.; Nakamura, K.; Goto, T. Airway scope laryngoscopy under manual inline stabilization and cervical collar immobilization: A crossover in vivo cinefluoroscopic study. J. Trauma 2011, 71, 32–36. [Google Scholar] [CrossRef]
- Yoo, J.Y.; Park, S.Y.; Kim, J.Y.; Kim, M.; Haam, S.J.; Kim, D.H. Comparison of the McGrath videolaryngoscope and the Macintosh laryngoscope for double lumen endobronchial tube intubation in patients with manual in-line stabilization: A randomized controlled trial. Medicine 2018, 97, e0081. [Google Scholar] [CrossRef] [PubMed]
- Roh, G.U.; Kwak, H.J.; Lee, K.C.; Lee, S.Y.; Kim, J.Y. Randomized comparison of McGrath MAC videolaryngoscope, Pentax Airway Scope, and Macintosh direct laryngoscope for nasotracheal intubation in patients with manual in-line stabilization. Can. J. Anaesth. 2019, 66, 1213–1220. [Google Scholar] [CrossRef] [PubMed]
- Chan, W.H.; Cheng, C.P.; Chiu, Y.L.; Hsu, Y.C.; Hu, M.H.; Huang, G.S. Two head positions for orotracheal intubation with the trachway videolight intubating stylet with manual in-line stabilization: A randomized controlled trial. Medicine 2020, 99, e19645. [Google Scholar] [CrossRef] [PubMed]
- Madziala, M.; Smereka, J.; Dabrowski, M.; Leung, S.; Ruetzler, K.; Szarpak, L. A comparison of McGrath MAC® and standard direct laryngoscopy in simulated immobilized cervical spine pediatric intubation: A manikin study. Eur. J. Pediatr. 2017, 176, 779–786. [Google Scholar] [CrossRef] [PubMed]
- Choi, J.W.; Kim, J.A.; Jung, H.J.; Kim, W.H. Tracheal intubation with a McGrath® Series 5 video laryngoscope by novice personnel in a cervical-immobilized manikin. J. Emerg. Med. 2016, 50, 61–66. [Google Scholar] [CrossRef] [PubMed]
- Smereka, J.; Ladny, J.R.; Naylor, A.; Ruetzler, K.; Szarpak, L. C-MAC compared with direct laryngoscopy for intubation in patients with cervical spine immobilization: A manikin trial. Am. J. Emerg. Med. 2017, 35, 1142–1146. [Google Scholar] [CrossRef] [PubMed]
- Jain, D.; Dhankar, M.; Wig, J.; Jain, A. Comparison of the conventional CMAC and the D-blade CMAC with the direct laryngoscopes in simulated cervical spine injury-a manikin study. Braz. J. Anesthesiol. 2014, 64, 269–274. [Google Scholar] [CrossRef]
- Karczewska, K.; Szarpak, L.; Smereka, J.; Dabrowski, M.; Ladny, J.R.; Wieczorek, W.; Robak, O.; Frass, M.; Ahuja, S.; Ruetzler, K. ET-View compared to direct laryngoscopy in patients with immobilized cervical spine by unexperienced physicians: A randomized crossover manikin trial. Anaesthesiol. Intensive Ther. 2017, 49, 274–282. [Google Scholar] [CrossRef]
- Gawlowski, P.; Smereka, J.; Madziala, M.; Cohen, B.; Ruetzler, K.; Szarpak, L. Comparison of the ETView Single Lumen and Macintosh laryngoscopes for endotracheal intubation in an airway manikin with immobilized cervical spine by novice paramedics: A randomized crossover manikin trial. Medicine 2017, 96, e5873. [Google Scholar] [CrossRef]
- Pius, J.; Noppens, R.R. Learning curve and performance in simulated difficult airway for the novel C-MAC® video-stylet and C-MAC® Macintosh video laryngoscope: A prospective randomized manikin trial. PLoS ONE 2020, 15, e0242154. [Google Scholar] [CrossRef]
- Nair, S.M.; Menon, G.D.; George, M.; Issac, E.; Bhaskaran, R. Comparison of performance characteristics of C-MAC video, McCoy, and Macintosh laryngoscopes in elective cervical spine surgery. J. Anaesthesiol. Clin. Pharmacol. 2021, 37, 569–573. [Google Scholar] [CrossRef] [PubMed]
- Bharti, N.; Arora, S.; Panda, N.B. A comparison of McCoy, TruView, and Macintosh laryngoscopes for tracheal intubation in patients with immobilized cervical spine. Saudi J. Anaesth. 2014, 8, 188–192. [Google Scholar] [CrossRef] [PubMed]
- Patel, N.; Desai, D.J. Tracheal intubation with King Vision video laryngoscope in patients with cervical spine instability-Comparison of straight vs. curved reinforced endotracheal tubes. Indian J. Anaesth. 2021, 65, 650–655. [Google Scholar] [CrossRef]
- Shravanalakshmi, D.; Bidkar, P.U.; Narmadalakshmi, K.; Lata, S.; Mishra, S.K.; Adinarayanan, S. Comparison of intubation success and glottic visualization using King Vision and C-MAC videolaryngoscopes in patients with cervical spine injuries with cervical immobilization: A randomized clinical trial. Surg. Neurol. Int. 2017, 8, 19. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Jakhar, R.; Saigal, D.; Kale, S.; Aggarwal, S. Comparison of videolaryngoscope and intubating laryngeal mask airway for tracheal intubation with manual-in-line stabilization in patients undergoing cervical spine surgery. Anesth. Essays Res. 2020, 14, 485–491. [Google Scholar] [CrossRef]
DL | VL | FOB | VS | |
---|---|---|---|---|
Using a rigid cervical collar to simulate a difficult airway in patients | ||||
Koh [55] | − | + | ||
Gill [56] | − | + | ||
Paik [7] | − | + | ||
Kleine-Brueggeney [11] | + | |||
Kleine-Brueggeney [12] | − | + | ||
Bathory [57] | − | + | ||
Seo [51] | − | + | ||
Kim [58] | + | |||
Nam [33] | − | + | ||
Phua [37] | − | + | ||
Kim [40] | − | + | ||
Using manual in-line axial cervical spine stabilization to simulate a difficult airway in patients | ||||
Turkstra [6] | − | + | ||
Maharaj [59] | − | + | ||
Houde [31] | + | + | ||
McElwain [60] | − | + | ||
Joseph [61] | − | + | ||
Kim [62] | + | |||
Robitaille [53] | − | + | ||
Vijayakumar [63] | − | + | ||
Varshney [64] | + | |||
Liu [65] | + | |||
Sinha [66] | + | |||
Chandy [67] | + | |||
Malik [68] | − | + | ||
Malik [69] | − | + | ||
Enomoto [70] | − | + | ||
Aoi [71] | + | |||
Yoo [72] | − | + | ||
Roh [73] | − | + | ||
Chan [74] | + | |||
Turkstra [32] | − | + | ||
Using a rigid cervical collar/manual in-line stabilization to simulate a difficult airway in mannequins | ||||
Park [38] | − | + | ||
Madziala [75] | − | + | ||
Choi [76] | − | + | ||
Smereka [77] | − | + | ||
Jain [78] | − | + | ||
Karczewska [79] | − | + | ||
Gawlowski [80] | − | + | ||
Pius [81] | − | + | ||
Cervical spines injuries patients in the real world | ||||
Yoon [34] | + | − | ||
Xu [35] | − | + | ||
Mahrous [36] | + | + | ||
Wang [39] | + | |||
Nair [82] | − | + | ||
Bharti [83] | − | + | ||
Patel [84] | + | |||
Shravanalakshmi [85] | + | |||
Jakhar [86] | + | |||
Kuo [52] | + | |||
Shih [this paper] | + |
DL | VL | SGD | FOB (Awake) | VS | |
---|---|---|---|---|---|
Need patient’s cooperation | − | − | − | + | − |
Allow neurologic exam before/after intubation | − | − | − | + | − |
Require wide mouth opening | + | + | − | − | − |
Possible difficult laryngoscopy | + | + | − | − | − |
Always better laryngeal visualization | − | + | − | + | + |
Operator’s skill/experience demanded | + | − | − | + | − |
High first-attempt success rate | − | + | + | + | + |
High overall success rate | − | + | + | + | + |
Fast intubation/easiness | − | + | + | − | + |
Blood/secretion may obscure the camera view, and suction is required | − | + | − | + | + |
Often require an adjunctive tool (e.g., GEB) | + | + | − | − | − |
Jaw-thrust is a helpful maneuver | − | − | − | − | + |
Dental/soft tissue injuries | + | + | − | − | − |
Autonomic stimulation | + | + | − | − | − |
Risk of pulmonary aspiration under RSI | + | + | + | − | + |
Availability/affordability | + | − | + | − | − |
For routine use | + | + | − | + | + |
Speedy preparedness, easy maintenance | + | + | + | − | + |
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Shih, T.-L.; Koay, K.-P.; Hu, C.-Y.; Luk, H.-N.; Qu, J.Z.; Shikani, A. The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility. Healthcare 2022, 10, 1688. https://doi.org/10.3390/healthcare10091688
Shih T-L, Koay K-P, Hu C-Y, Luk H-N, Qu JZ, Shikani A. The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility. Healthcare. 2022; 10(9):1688. https://doi.org/10.3390/healthcare10091688
Chicago/Turabian StyleShih, Tung-Lin, Ker-Ping Koay, Ching-Yuan Hu, Hsiang-Ning Luk, Jason Zhensheng Qu, and Alan Shikani. 2022. "The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility" Healthcare 10, no. 9: 1688. https://doi.org/10.3390/healthcare10091688
APA StyleShih, T.-L., Koay, K.-P., Hu, C.-Y., Luk, H.-N., Qu, J. Z., & Shikani, A. (2022). The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility. Healthcare, 10(9), 1688. https://doi.org/10.3390/healthcare10091688