FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4283780919> ?p ?o ?g. }

• W4283780919 endingPage "173" @default.
• W4283780919 startingPage "173" @default.
• W4283780919 abstract "Sir, Managing a difficult tracheal intubation is a challenge for any airway operator. The McCoy laryngoscope was developed in 1993 to manage difficult intubations. This device improves the glottic view during difficult laryngoscopy because of its levering tip, making it an important gadget for difficult airway management, especially in patients with cervical spine injury.[12] Video laryngoscopes are relatively newer devices which have better glottic visualisation and first pass success rate as compared to Macintosh and McCoy laryngoscopes in studies simulating cervical spine injury.[34] Video laryngoscopes are recommended for difficult airway management, however they are not available universally, especially in resource limited settings.[56]Also, video laryngoscope does not have a levering tip to elevate the epiglottis like the McCoy laryngoscope. Combining the favourable features of both these devices, we developed an affordable levering video laryngoscope, which was tested in a manikin study. With the help of our biomedical engineering team we attached a waterproof wireless borescope examination camera with six light-emitting diode lights into the groove of a Macintosh laryngoscope, 40 mm proximal to the tip of laryngoscope. The laryngoscope was further modified by cutting it obliquely 2 cm proximal to the tip and welded it with a hinge to make it a levering tip which can be flexed to 70° by pushing the proximal lever forward with a spring loaded drum attached to the left side of flange [Figure 1a]. This video laryngoscope can be used in a way similar to a conventional laryngoscope. The levering tip helps to elevate the epiglottis and improves the glottic view [Figures 1b and c]. The image captured from the camera can be seen on a smartphone or tablet connected using a cable, using the Inskam application (freely downloadable from google play store). The real time video laryngoscopic image can also be transmitted to a control room from where an experienced airway operator can monitor and guide junior staff performing the procedure. The images of laryngoscopic view and the tracheal tube passage into the glottis can also be saved for documentation and training purposes.Figure 1: (a) MLVL with its tip in neutral position. (b) Glottic view without pushing the lever of MLVL. (c) Improvement in glottic view by pushing the lever forward. MLVL: Modified levering video laryngoscopeTo test this improvised video laryngoscope, we performed a manikin study. The device was found to be easy to use having the advantages of both a McCoy laryngoscope and a conventional video laryngoscope. We compared our modified levering video laryngoscope (MLVL) with McCoy laryngoscope in a manikin (Laerdal Medical™). Ten certified anaesthesiologists who had completed 3 years of anaesthesia training performed intubations. Two intubations with each device were performed by each anaesthesiologist with or without cervical collar in place. The intubation time and percentage of glottic opening (POGO) scores were recorded. The data were compared using a one way analysis of variance (ANOVA). Subgroup analysis was done using Tukey’s honestly significant difference (HSD) test. All intubations were successful at the first attempt. Although there was no statistically significant difference in intubation times (P = 0.143), there was a significant improvement in glottic view when MLVL was used [Table 1]. The intergroup differences in mean POGO scores were significant (F = 28.77; P < 0.001). The laryngoscopic view improved when the lever was pushed forward in 60% of the patients.Table 1: Comparison of POGO score and intubation time using McCoy laryngoscopy vs levering video laryngoscopy in a manikin with or without cervical collar in placeOur initial observations in manikins suggest that the MLVL provides the dual advantage of a superior glottic view like a video laryngoscope, with further possibility of improvement of the view due to its levering tip which elevates the epiglottis. Further studies on human subjects are required to establish the safety and efficacy of this device in humans. This device has the potential to be a future affordable alternative to video laryngoscopes for difficult airway management. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest." @default.
• W4283780919 created "2022-07-03" @default.
• W4283780919 creator A5053571770 @default.
• W4283780919 creator A5056699096 @default.
• W4283780919 date "2022-01-01" @default.
• W4283780919 modified "2023-09-25" @default.
• W4283780919 title "The levering video laryngoscope: An affordable alternative for difficult airway management" @default.
• W4283780919 cites W2565481426 @default.
• W4283780919 cites W2885690797 @default.
• W4283780919 cites W2971450101 @default.
• W4283780919 cites W3024576399 @default.
• W4283780919 cites W3091509108 @default.
• W4283780919 cites W4206280838 @default.
• W4283780919 doi "https://doi.org/10.4103/ija.ija_1044_21" @default.
• W4283780919 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35774234" @default.
• W4283780919 hasPublicationYear "2022" @default.
• W4283780919 type Work @default.
• W4283780919 citedByCount "1" @default.
• W4283780919 countsByYear W42837809192022 @default.
• W4283780919 crossrefType "journal-article" @default.
• W4283780919 hasAuthorship W4283780919A5053571770 @default.
• W4283780919 hasAuthorship W4283780919A5056699096 @default.
• W4283780919 hasBestOaLocation W42837809191 @default.
• W4283780919 hasConcept C105922876 @default.
• W4283780919 hasConcept C141071460 @default.
• W4283780919 hasConcept C2776888792 @default.
• W4283780919 hasConcept C2778674591 @default.
• W4283780919 hasConcept C2778716859 @default.
• W4283780919 hasConcept C2780474809 @default.
• W4283780919 hasConcept C2780978852 @default.
• W4283780919 hasConcept C2781447300 @default.
• W4283780919 hasConcept C2910000593 @default.
• W4283780919 hasConcept C3018687963 @default.
• W4283780919 hasConcept C71924100 @default.
• W4283780919 hasConceptScore W4283780919C105922876 @default.
• W4283780919 hasConceptScore W4283780919C141071460 @default.
• W4283780919 hasConceptScore W4283780919C2776888792 @default.
• W4283780919 hasConceptScore W4283780919C2778674591 @default.
• W4283780919 hasConceptScore W4283780919C2778716859 @default.
• W4283780919 hasConceptScore W4283780919C2780474809 @default.
• W4283780919 hasConceptScore W4283780919C2780978852 @default.
• W4283780919 hasConceptScore W4283780919C2781447300 @default.
• W4283780919 hasConceptScore W4283780919C2910000593 @default.
• W4283780919 hasConceptScore W4283780919C3018687963 @default.
• W4283780919 hasConceptScore W4283780919C71924100 @default.
• W4283780919 hasIssue "15" @default.
• W4283780919 hasLocation W42837809191 @default.
• W4283780919 hasLocation W42837809192 @default.
• W4283780919 hasLocation W42837809193 @default.
• W4283780919 hasLocation W42837809194 @default.
• W4283780919 hasOpenAccess W4283780919 @default.
• W4283780919 hasPrimaryLocation W42837809191 @default.
• W4283780919 hasRelatedWork W1630088792 @default.
• W4283780919 hasRelatedWork W1973834189 @default.
• W4283780919 hasRelatedWork W1997220273 @default.
• W4283780919 hasRelatedWork W2016050796 @default.
• W4283780919 hasRelatedWork W2088331700 @default.
• W4283780919 hasRelatedWork W2113139997 @default.
• W4283780919 hasRelatedWork W2527911883 @default.
• W4283780919 hasRelatedWork W2595217356 @default.
• W4283780919 hasRelatedWork W2742195387 @default.
• W4283780919 hasRelatedWork W3024131766 @default.
• W4283780919 hasVolume "66" @default.
• W4283780919 isParatext "false" @default.
• W4283780919 isRetracted "false" @default.
• W4283780919 workType "article" @default.