Airway
Brian J Pollard, Gareth Kitchen in Handbook of Clinical Anaesthesia, 2017
The Airtraq® (Prodol Meditec SA, Vizcaya, Spain) is a single use device which consists of an anatomically shaped laryngoscope with a built-in tube channel. A battery operated light emitting diode is present at the tip and provides the illumination. The laryngeal view is transmitted to the proximal viewfinder through a combination of lenses and prisms. Facilities are also available for transmitting the image to an integrated monitor or an external wireless monitor.
Military Environments
Kenneth D Boffard in Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Prior to RSI, equipment and team preparation is paramount. A trained anaesthetic assistant should be available and ideally a second clinician whose role is to administer drugs and to monitor vital signs. A team member should be designated to perform thoracostomy should a tension pneumothorax become evident. In the event of cervical spine control being necessary, any cervical collar should be opened or removed and replaced with manual in-line stabilization by another team member. All equipment should be checked daily and again prior to casualty arrival. Minimum equipment immediately available includes: Self-inflating bag and correctly sized facemask.Two sizes of laryngoscope (MAC 3 and 4 for adults).Appropriately sized endotracheal tubes.Failed/difficult intubation equipment.Bougie.Oropharyngeal and nasopharyngeal airways.Laryngeal mask airway (ideally second generation e.g. ProSeal®, iGel®).Alternative laryngoscope (e.g. AirTraq®, Glidescope® if available).Surgical airway equipment.Working suction.Monitoring including end-tidal CO2, ECG, non-invasive blood pressure (NIBP) and SpO2.
Video laryngoscopy-assisted tracheal intubation in airway management
Published in Expert Review of Medical Devices, 2018
Chia-Chih Liao, Fu-Chao Liu, Allen H. Li, Huang-Ping Yu
The Airtraq laryngoscope is an anatomically shaped, optical laryngoscope. It is a single-use device and is made up of reusable optical components which feature an antifogging effect, disposable blades and eyecup, a docking station, and an optional camera. The battery can be used approximately for 90 min after fully charged. Furthermore, light indicators are presented at the tip of the blade showing the status of battery charge and service life. The optics can be protected from patient contact by the disposable blades and eyecup. The blades have two parallel conduits for the optical and guiding channels. Different sizes of blades are available to work with various types of endotracheal tubes for adult, pediatric, and neonatal use. The docking station is used for charging the battery and the Wi-Fi camera and for displaying the service life of the optical system. Since the Airtraq has two viewing systems, the patient’s airway can be looked through the eyecup or through the Wi-Fi camera.
Pediatric airway management devices: an update on recent advances and future directions
Published in Expert Review of Medical Devices, 2018
Michelle Tsao, Angelica A. Vargas, John Hajduk, Renee Singh, Narasimhan Jagannathan
The Airtraq is a handheld portable VL with a built-in channel for the endotracheal tube, oblivating the need for a stylet. The SP model is a completely disposable version that is available in infant and pediatric sizes (accommodates endotracheal tubes from 2.5 to 5.5 mm inner diameter). The Airtraq has an eyepiece optical system that does not require any additional equipment but uniquely, also allows multiple alternate viewing modalities. There is a Wi-Fi camera module that allows connectivity to PC and mobile devices and it has video recording capabilities. There is an endoscopic camera attachment which is compatible with most endoscopic systems utilized in operating rooms. Finally, there is an adapter for mobile phones which permits image/video capture, zooming, focus adjustments, and sharing.
Laryngoscopes for difficult airway scenarios: a comparison of the available devices
Published in Expert Review of Medical Devices, 2018
Lukasz Szarpak
There is no conclusive evidence for the advantage of Airtraq usage when compared with the Macintosh laryngoscope in adult intubation in normal airways by experienced medical personnel [46]. However, many studies point at an advantage of this method when intubation is performed by less experienced medical personnel [47–49]. In their meta-analysis, Hoshijima et al. [50] indicate that the Airtraq® attenuates the hemodynamic response 60 s after tracheal intubation compared with the Macintosh laryngoscope. Orozco et al. [51] confirmed that intubation with the Airtraq® device was more effective than the usage of the Macintosh laryngoscope in terms of reduction of hemodynamic changes, SO2, EtCO2, time and number of attempts for intubation, and complications in pediatric patients undergoing elective surgery. For difficult airways, the effectiveness of intubation with Airtraq is higher than that of direct laryngoscopy [44]. El-Tahan et al. [52] performed a study among patients undergoing elective thoracic surgery and observed that when used by operators with mixed experience, the channeled Airtraq required less time for double-lumen tube intubation and was easier to use than the GlideScope. On the other hand, Belze et al. [53] did not note any difference in the success rates of tracheal intubation with a double-lumen tube in patients with a predicted or known difficult airway when using a GlideScope or Airtraq device. Szarpak et al. [54], in their study comparing the effectiveness of intubation with the use of Airtraq and Macintosh laryngoscope in a pediatric patient with normal and difficult airways in simulated cardiopulmonary resuscitation, showed that the Airtraq could be successfully applied by medical staff without previous experience to intubate pediatric manikins with normal and difficult airways [55]. Success rates and endotracheal tube insertion times of experienced emergency physicians were calculated using five videolaryngoscopes: a randomized trial in a simulated trapped car accident victim.
Related Knowledge Centers
- Airway Management
- Cervical Collar
- Cervical Vertebrae
- Glottis
- Mouth
- Pharynx
- Tracheal Intubation
- Larynx
- Spinal Board
- Laryngeal Tube