Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy

Background. Teaching direct laryngoscopy is limited by the inability of the instructor to simultaneously view the airway with the laryngoscopist. Our primary aim is to report our initial use of the GlideScope Direct, a video-enabled, Macintosh laryngoscope intended primarily as a training tool in di...

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Main Authors: Darwin Viernes, Allan J. Goldman, Richard E. Galgon, Aaron M. Joffe
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/820961
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author Darwin Viernes
Allan J. Goldman
Richard E. Galgon
Aaron M. Joffe
author_facet Darwin Viernes
Allan J. Goldman
Richard E. Galgon
Aaron M. Joffe
author_sort Darwin Viernes
collection DOAJ
description Background. Teaching direct laryngoscopy is limited by the inability of the instructor to simultaneously view the airway with the laryngoscopist. Our primary aim is to report our initial use of the GlideScope Direct, a video-enabled, Macintosh laryngoscope intended primarily as a training tool in direct laryngoscopy. Methods. The GlideScope Direct was made available to anyone who planned on performing direct laryngoscopy as the primary technique for intubation. Novices were those who had performed <30 intubations. Results. The GlideScope Direct was used 123 times as primarily a direct laryngoscope while the instructor viewed the intubation on the monitor. It was highly successful as a direct laryngoscope (93% success). Salvage by indirect laryngoscopy occurred in 7/9 remaining patients without changing equipment. Novices performed 28 intubations (overall success rate of 79%). In 6 patients, the instructor took over and successfully intubated the patient. Instructors used the video images to guide the operator in 16 (57%) of those patients. Seven different instructors supervised the 28 novices, all of who subjectively felt advantaged by having the laryngoscopic view available. Conclusions. The GlideScope Direct functions similarly to a Macintosh laryngoscope and provides the instructor subjective reassurance, while providing the ability to guide the trainee laryngoscopist.
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spelling doaj-art-2b0a33df8a29477495924823f5f588432025-02-03T06:07:24ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/820961820961Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct LaryngoscopyDarwin Viernes0Allan J. Goldman1Richard E. Galgon2Aaron M. Joffe3Department of Anesthesiology and Pain Medicine, University of Washington, 325 Ninth Avenue, Box 359724, Seattle, WA 98104, USADepartment of Anesthesiology, Swedish Medical Center, Seattle, WA 98104, USADepartment of Anesthesiology, University of Wisconsin Hospital and Clinics, Madison, WI 53792, USADepartment of Anesthesiology and Pain Medicine, University of Washington, 325 Ninth Avenue, Box 359724, Seattle, WA 98104, USABackground. Teaching direct laryngoscopy is limited by the inability of the instructor to simultaneously view the airway with the laryngoscopist. Our primary aim is to report our initial use of the GlideScope Direct, a video-enabled, Macintosh laryngoscope intended primarily as a training tool in direct laryngoscopy. Methods. The GlideScope Direct was made available to anyone who planned on performing direct laryngoscopy as the primary technique for intubation. Novices were those who had performed <30 intubations. Results. The GlideScope Direct was used 123 times as primarily a direct laryngoscope while the instructor viewed the intubation on the monitor. It was highly successful as a direct laryngoscope (93% success). Salvage by indirect laryngoscopy occurred in 7/9 remaining patients without changing equipment. Novices performed 28 intubations (overall success rate of 79%). In 6 patients, the instructor took over and successfully intubated the patient. Instructors used the video images to guide the operator in 16 (57%) of those patients. Seven different instructors supervised the 28 novices, all of who subjectively felt advantaged by having the laryngoscopic view available. Conclusions. The GlideScope Direct functions similarly to a Macintosh laryngoscope and provides the instructor subjective reassurance, while providing the ability to guide the trainee laryngoscopist.http://dx.doi.org/10.1155/2012/820961
spellingShingle Darwin Viernes
Allan J. Goldman
Richard E. Galgon
Aaron M. Joffe
Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
Anesthesiology Research and Practice
title Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
title_full Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
title_fullStr Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
title_full_unstemmed Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
title_short Evaluation of the GlideScope Direct: A New Video Laryngoscope for Teaching Direct Laryngoscopy
title_sort evaluation of the glidescope direct a new video laryngoscope for teaching direct laryngoscopy
url http://dx.doi.org/10.1155/2012/820961
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