title: Tracheal intubation with a camera embedded in the tube tip (Vivasight(™) ).
abstract: We studied tracheal intubation in manikins and patients with a camera embedded in the tip of the tracheal tube (Vivasight(™) ). Four people in two teams and two individuals attempted intubation of a manikin through an i-gel(™)  10 times each. The tracheas of 12 patients with a Mallampati grade of 1 were intubated with a Vivasight tracheal tube through a Berman airway, passed over a Frova(™)  introducer. All 60 manikin intubations were successful, taking a mean (SD) time of 1.4 (0.5) s. The fastest intubation was performed in 0.5 s. All 12 participants' tracheas were successfully intubated in a median (IQR [range]) time of 90 (70-120 [50-210]) s. Seven participants complained of a sore throat, comparable with earlier findings for standard laryngoscopy and intubation: five mild; one moderate; and one severe. Tracheal intubation with the Vivasight through the i-gel or Berman airway is an alternative to existing techniques, against which it should be compared in randomised controlled trials in human participants. It has potential as a fast airway rescue technique.
authors.affiliation: Department of Anaesthesiology, VU University Medical Center, Amsterdam, the Netherlands. j.huitink@vumc.nl
authors.forename: J M
authors.initials: JM
authors.lastname: Huitink
authors.forename: E M
authors.initials: EM
authors.lastname: Koopman
authors.forename: R A
authors.initials: RA
authors.lastname: Bouwman
authors.forename: A
authors.initials: A
authors.lastname: Craenen
authors.forename: M
authors.initials: M
authors.lastname: Verwoert
authors.forename: R
authors.initials: R
authors.lastname: Krage
authors.forename: I E
authors.initials: IE
authors.lastname: Visser
authors.forename: M
authors.initials: M
authors.lastname: Erwteman
authors.forename: D
authors.initials: D
authors.lastname: van Groeningen
authors.forename: R
authors.initials: R
authors.lastname: Tijink
authors.forename: A
authors.initials: A
authors.lastname: Schauer
mesh_terms: D000328:Adult; D058109:Airway Management / Q000295:instrumentation* / Q000379:methods*; D000704:Analysis of Variance; D000768:Anesthesia, General; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D017214:Laryngeal Masks; D020704:Laryngoscopes; D007828:Laryngoscopy; D008297:Male; D008348:Manikins; D008875:Middle Aged; D010612:Pharyngitis / Q000453:epidemiology / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology; D018401:Sample Size