[McGrath video laryngoscope used with a Frova intubating introducer for management of the difficult airway].
The McGrath video laryngoscope is a new airway management device. It is similar to the Macintosh laryngoscope but incorporates a blade at a 60 degrees angle and a camera that sends an image to a color display screen connected to the handle. The device, which requires use of an anti-fog substance and an introducer to guide the angled blade, has been reported to aid in the management of difficult airways. We present 3 cases of difficult oral-tracheal intubation managed with the McGrath video laryngoscope and a Frova intubating introducer. Advantages of this introducer are that it offers the possibility of administering oxygen or changing the size of the endotracheal tube if the first choice proves inappropriate. We discuss whether or not tests to predict difficult airways are applicable when the McGrath video laryngoscope is being used, given that it is not necessary to align the axes of the 3 airways. We conclude it may be useful to combine the McGrath video laryngoscope and the Frova introducer to manage difficult airways.
Añez Simón
C
C
Servicio de Anestesiología y Reanimación, Hospital Universitario Joan XXIII de Tarragona, C/ Dr. Mallafré Guasch, no 4., 43007 Tarragona. cristobal_anez@yahoo.es
Montori Lacámara
N
N
Santos Marqués
M L
ML
Farre Nebot
V
V
Camps Vidal
M
M
Ramiro Ruiz
O
O
Rull Bartomeu
M
M
D034861:Abdominal Wall / Q000601:surgery; D000402:Airway Obstruction; D002574:Cervical Vertebrae / Q000601:surgery; D015897:Comorbidity; D017586:Diskectomy; D004867:Equipment Design; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D020704:Laryngoscopes; D008297:Male; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation; D016606:Thyroid Nodule / Q000601:surgery; D013965:Thyroidectomy; D014741:Video Recording / Q000295:instrumentation*