Endotracheal intubation device with a charge couple device camera.
We developed an orotracheal intubation device equipped with a charge couple device (CCD) camera, providing a wide field of vision. We used this device to perform endotracheal intubations in 62 anesthetized patients undergoing dental treatment and oral surgery. The time required to perform an endotracheal intubation with this system was examined. The use of this system is described below. The wand with the CCD camera was inserted into the oropharyngeal cavity. The oropharynx, including the epiglottis and glottis, could be visualized on the monitor screen. The tube introducer was inserted into the trachea through the vocal cords via the side tube of the wand. The wand with the CCD camera was withdrawn, leaving the tube introducer in the trachea. The endotracheal tube was then inserted into the trachea by using the tube introducer as a guide. The time required for the procedure was determined. The mean total time for the procedure was 41.2 s (maximum, 155 s; minimum, 14 s). There were no significant differences in this procedure when the patients were grouped according to the Cormack and Lehane classification. There was no failure to intubate using this system. Because the device can extensively visualize not only the larynx, glottis, and vocal cords, but also the movement of the tube introducer, on the monitor screen via the CCD camera, endotracheal intubation can be easily performed while the vocal cords are visualized on the monitor screen.
Kohase
Hikaru
H
Section of Anesthesiology and Clinical Physiology, Department of Oral Restitution, Division of Oral Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. hkohase.anph@tmd.ac.jp
Sehata
Hiroshi
H
Inada
Hirohito
H
Ikeda
Yoko
Y
Umino
Masahiro
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000766:Anesthesia, Dental; D000769:Anesthesia, Inhalation; D002648:Child; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D007828:Laryngoscopy; D007830:Larynx / Q000033:anatomy & histology; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures; D009960:Oropharynx / Q000033:anatomy & histology