title: The intubation scoop (i-scoop) - a new type of laryngoscope for difficult and normal airways.
abstract: The i-scoop is an intubation device with a curved guiding bar with laterally located lenses at its tip, rather than a blade. Twenty-five anaesthesiologists intubated a manikin that simulated first a normal and then a difficult airway. All participants were able to intubate the difficult airway with a good view of the glottis using the i-scoop. None was able to intubate using seven other laryngoscopes (Macintosh laryngoscope, GlideScope(®) GVL and AVL, McGrath(®) (Series 5/MAC), C-MAC(®) , A.P. Advance(™) ). Intubation was successful only with the Airtraq(®) (n = 10), the Airway Scope (n = 5), the C-MAC D-Blade (n = 2), the A.P. Advance DAB (n = 1) and the GlideScope DL Trainer (n = 1) (p < 0.001, success rate of i-scoop vs all 12 laryngoscopes combined). In contrast to all other videolaryngoscopes, intubation of the normal airway with the i-scoop was achieved even faster than with the Macintosh laryngoscope (p < 0.02). The i-scoop outperformed all other laryngoscopes in both difficult and normal airways, and therefore has potential as an easier and safer alternative to present devices.
authors.affiliation: Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Raymondos
authors.forename: T
authors.initials: T
authors.lastname: Seidel
authors.forename: B
authors.initials: B
authors.lastname: Sander
authors.forename: A
authors.initials: A
authors.lastname: Gerdes
authors.forename: F
authors.initials: F
authors.lastname: Goetz
authors.forename: V
authors.initials: V
authors.lastname: Helmstädter
authors.forename: B
authors.initials: B
authors.lastname: Panning
authors.forename: T
authors.initials: T
authors.lastname: Dieck
mesh_terms: D058109:Airway Management / Q000295:instrumentation*; D002983:Clinical Competence; D023381:Endpoint Determination; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D020704:Laryngoscopes / Q000009:adverse effects; D007828:Laryngoscopy; D008348:Manikins; D014057:Tomography, X-Ray Computed