Recent Advances in Airway Management Devices

DR. Mohamed Sayedalahl, MD; Anesthesia

Difficult Airway devices Difficult Airway

Scope of Lecture

Difficult Airway Algorithm

ASA Difficult Airway Algorithm

Alternative Airway Devices ETT guides

Lighted Stylets

Viewing Stylets

Video Laryngoscopes

Indirect Rigid Fiber optic Laryngoscopes

Supra glottic Airway Devices

Video Laryngoscopes

Video Laryngoscopes C-Mac Video Laryngoscope 7 inch LCD Mac, Miller, & D-blade (adult & Pediatric) Reusable & Disposable blades

Video Laryngoscopes C-Mac Pocket Monitor Highly portable 2.4 monitor All blades

Video Laryngoscopes McGrath MAC VLHighly portable, no external powerSlim blade; direct & indirect vision

McGrath series 5 VL Portable Adjustable blade size Disposable blade tip HLDi; High level Disinfection immersible system water proof

Video Laryngoscopes Copilot VL Highly portable C-Channel for bougie

Glidoscope VL Durable Reusable & Disposable Antifog Snapshot & play back

Glidoscope Ranger VL Military & EMS

Video Laryngoscopes Venner AP Advance Built in antifog mechanism May be used as Dl or VL

VividTrac VL Equipped with USB port Windows, Linux, IOS Has a channel for ETT

Video Laryngoscopes King Vision VLHighly portableDurableSoft channel; easy detachment of ETT

King Vision a blade VLDisposable low cost blades

Video Laryngoscopes Airtraq Avant Disposable blades Reusable optic piece Guiding channel Antifog lens Needs no alignment of OA, PA& LA

Airtraq Plus All features as Avant Fully disosable

Video (Airtaq Intubation)

Indirect Rigid Fiber-Optic Laryngoscopes

Dorges Emergency Laryngoscope BladeCombined features of MAC & Miller baldeswith reduced flange height

Ainc A Macintosh “Flex-Tip” BladeProximal lever controls distal flexitipElevation of epiglottisHigh larynxCx spine injury

Ainc A Mac Viewing PrismsClips to the flange of MAC bladeTransfers the view point from the blade tip

Supraglottic Airways (SGA)

Supraglottic airways (SGA) LMA Classic

LMA Unique

LMA Classic excel

LMA Fastrach

LMA Supreme

LMA Flexible

LMA ProSeal

LMA Guardian Vented gastric tube CPV

LMA Ultra Flex Wire reinforced Repositioning

LMA WydeGlyde Tru-Cuff Accommodates ETT & FOB Bite block

Supraglottic airways (SGA)

Cobra PLA Large ID flexible tube Tapered striated tip Large volume OP cuff Conduit for intubation ETT 8 mm

Cobra PLUS Similar to Cobra PLA Core temp monitoring ETCO2 & volatile gas analysis

Supraglottic airways (SGA)

I Gel Bite block Buccal cavity stabilizer Gastric channel Conduit for intubation

I Gel O2 Resus Pack Oxygen port Head strap Lubricant sachet EMS

Supraglottic airways (SGA)

Supraglottic Airways (SGA) Esophageal-Tracheal

(Combitube) Oropharyngeal cuff &

esophageal cuff 8 ventilation holes in

between Prehospital, EMS,

difficult airway, regurgitation, limited access to the

airway,Cx spine disease.

Supraglottic Airways (SGA) King LT Single lumen, esophageal & oropharyngeal cuffs 2 ventilation outlets Blind distal tip

King LT-D Disposable

King LTS & King LTS-D Posterior lumen

Video (I LMA)

ETT Guides Aid Intubation

Extubation

Tube Exchange

ETT Guides Aintree Intubation catheter

Has 15 mm adapter & distal 2 side holes

Lumen for FOB

ETT Guides

Arndt Airway Exchange catheter Tapered distal end Distal multiple side holes

Cook Airway Exchange Catheter Has a soft tip Designed especially for exchange of SLT & DLT

ETT Guides Copilot VL single use bougie Single use Angled distal tip

Copilot VL reusable stylet Could be resterilized

ETT Guides Frova Intubating Introducer Angled distal tip Hollow lumen 2 distal side ports Accommodates ETT 6 mm

GlideRite Rigid stylet Designed to work with Glidoscope

Optishape Stylet Used with variety of VLs ˃ 42˚ ETT 2.5 and larger

Portex Venn Tracheal Tube Introducer Woven polyester Gum elastic bougie Reusable Anterior larynx

ETT Guides Rapid positioning Intubation stylet (RPiS) Single use, flexible 180 flexion & Retroflexion

S-Guide Single use Malleable Hollow Soft tip

ETT Guides Truflex flexible Stylet Stainless steel, reusable Adjustable

VBM Tube Exchanger & Introducer Angled tip Hollow Oxygen connector

Lighted Stylets

Aaron Lighted stylets Sterile, single use, Flexible

Video (Lighted Stylets Intubation)

Viewing Stylets Ainc A Video Stylet

Air-Vu Plus Fiber-optic Stylet Optional Oxygen Port

Viewing Stylets Ambu aScope 3 Disposable Alternative to standard flexible FOB Could be used through SGA

Bonfils Retromolar Rigid Fixed distal curve 40˚ Insufflation/Suction port

Viewing Stylets Clarus Video System Malleable (adjustable curve) Modification (Smart Phones)

Viewing Stylets Clarus Pocket Scope Nondirectable tip Used with SGA or DL

SensaScope Semirigid Steerable tip No working channel

Viewing Stylets Shikani fiberoptic system Malleable (preformed) Working channel, Independent or with DL or SGA Adapter for smart phones

This is my airway