medigraphic.com

2017, Number 2

<< Back Next >>

Rev Mex Anest 2017; 40 (2)

Airway in the polytraumatized patient: use of videolaryngoscopy as an alternative and solution

Martínez-Ruiz YI, Vázquez-Torres J

Language: Spanish
References: 27
Page: 113-119
PDF size: 585.64 Kb.


ABSTRACT

Severe polytrauma is a public health problem with an overall mortality up to 12%, is the leading cause of death in individuals 18-44 years of age worldwide. In Mexico, the National Institute of Statistics and Geography, accident reports fourth cause of death. Improving trauma patient survival it is associated with early endotracheal intubation during prehospital care. About 9.9% of trauma patients require early intubation in the first two hours of arrival at the trauma center. Tracheal intubation remains the gold standard for the management of the airway in trauma patients, and should be made orally to support a rapid sequence intubation and cervical manual stabilization maneuvers. Trauma patients have their own causes of difficult intubation. The incidence of difficult airway in them is 7-10%, with an intubation failure of 11.6%. Assisted video laryngoscopy combines the advantages of conventional laryngoscopy and bronchoscopy. It allows vision of the glottis in a visual field of 45-60 degrees. It may be useful in patients with cervical spine.


REFERENCES

  1. Carvajal-Reventós L. Manejo de la vía aérea en trauma. Revista Médica de Costa Rica y Centroamericana. 2010;67:123-126.

  2. Rivera-Flores J. Manejo de la vía respiratoria del paciente traumatizado. Rev Mex Anest. 2010;33:S137-S139.

  3. Galván-Talamantes Y, Espinoza de los Monteros ME. Manejo de la vía aérea difícil. Rev Mex Anest. 2013;36:S312-S315.

  4. Kunze NS. Análisis de los algoritmos de manejo de vía aérea difícil. Rev Chil Anest. 2009;38:91-100.

  5. Acha GP. Avances en el manejo de la vía aérea: el futuro ya está aquí. Rev Esp Anestesiol Ream. 2016;63:1-2. doi: org/10.1016/j.redar.2015.10.006.

  6. Alper K, Ahmet T, Aybars T, Atilla E, Seref O. Eficacia del videolaringoscopio C-MAC en intubaciones no exitosas. Rev Bras Anestesiol. 2014;64:62-65. doi: org/10.1016/j.bjanes.2013.03.001.

  7. Maharaj CH, Buckley E, Harte BH, Laffey JG. Endotracheal intubation in patients with cervical spine immobilization: a comparison of macintosh and airtraq laryngoscopes. Anesthesiology. 2007;107:53-59.

  8. Gaviria-Rivera E, Monsalve-Mejía GA. Trauma de la columna cervical. Manejo de la vía aérea. Rev Colomb Anestiol [en línea]. 2002;30.

  9. Khan RM, Sharma PK, Kaul N. Airway management in trauma. Indian J Anaesth. 2011;55:463-469. doi: 10.4103/0019-5049.89870.

  10. Crewdson K, Nolan JP. Management of the trauma airway. Trauma. 2011;13:221-232.

  11. Krausz AA, El-Naaj IA, Barak M. Maxillofacial trauma patient: coping with the difficult airway. World J Emerg Surg. 2009;4:21. doi: 10.1186/1749-7922-4-21.

  12. Baeza GF, Leyton P, Grovec I. Alternativas en el manejo del paciente con vía aérea difícil. Revista Hospital Clínico Universidad de Chile. 2000;11:1-16.

  13. Carley S, Gwinnutt CL. Stepwise airway management in the trauma patient. Trauma. 2004;6:177-185.

  14. Rao BK, Singh VK, Ray S, Mehra M. Airway management in trauma. Indian J Crit Care Med. 2004;8:98-105.

  15. Nileshwar A, Thudamaladinne A. Comparison of intubating laryngeal mask airway and Bullard laryngoscope for oro-tracheal intubation in adult patients with simulated limitation of cervical movements. Br J Anaesth. 2007;99:292-296.

  16. Levine AI, DeMaria S Jr. An updated report by the American Society of Anesthesiologists Task Force on management of the difficult airway: where is the aspiration risk assessment? Anesthesiology. 2013;119:731-732.

  17. Jungbauer A, Schumann M, Brunkhorst V, Börgers A, Groeben H. Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth. 2009;102:546-550.

  18. Thong SY, Lim Y. Video and optic laryngoscopy assisted tracheal intubation the new era. Anaesth Intensive Care. 2009;37:219-233.

  19. Liu EH, Goy RW, Tan BH, 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. doi: 10.1093/bja/aep164.

  20. Jain D, Bala I, Gandhi K. Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries. J Anaesthesiol Clin Pharmacol. 2016;32:59-64. doi: 10.4103/0970-9185.173349.

  21. Chaparro MK, Luna MC, Gómez JM. Videolaringoscopios: ¿la solución para el manejo de la vía aérea difícil o una estrategia más? Revisión no sistemática. Rev Colomb Anestesiol. 2015;43:225-233.

  22. Taylor AM, Peck M, Launcelott S, Hung OR, Law JA, MacQuarrie K, et al. The McGrath® Series 5 videolaryngoscope vs the Macintosh laryngoscope: a randomized, controlled trial in patients with a simulated difficult airway. Anaesthesia. 2013;68:142-147. doi: 10.1111/anae.12075.

  23. Walker L, Brampton W, Halai M, Hoy C, Lee E, Scott I, et al. Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists. Br J Anaesth. 2009;103:440-445.

  24. Kaplan MB, Ward DS, Berci G. A new video laryngoscope-an aid to intubation and teaching. J Clin Anesth. 2002;14:620-626.

  25. Kaplan MB, Hagberg CA, Ward DS, Brambrink A, Chhibber AK, Heidegger T, et al. Comparison of direct and video-assisted views of the larynx during routine intubation. J Clin Anesth. 2006;18:357-362.

  26. Huitrón MA, Athié GJM, Martínez VA. Tiempo de intubación entre videolaringoscopios: King Vision vs Vivid Trac. Estudio comparativo. Acta Med. 2016;14:131-135.

  27. Biermann H, van der Heiden E, Beishuizen A, Girbes A, de Waard MC. Endotracheal intubation by inexperienced registrars in internal medicine: a comparison of video-laryngoscopy versus direct laryngoscopy. Neth J Crit Care. 2013;17:7-9.




2020     |     www.medigraphic.com