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Utility of videolaryngoscopy for diagnostic and therapeutic interventions in head and neck surgery.
Metadata
Journalamerican journal of otolaryngology1.267Date
2019 Sep 04
a year ago
Type
Journal Article
Volume
2020-Jul---Aug / 41 : 102284
Author
Shenson JA 1, Marcott S 2, Dewan K 1, Lee YJ 1, Mariano ER 3, Sirjani DB 4
Affiliation
  • 2. Stanford University School of Medicine, 291 Campus Drive, Stanford, CA 94305, USA.
  • 3. Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave, Palo Alto, CA 94304, USA.
  • 4. Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Rd, Stanford, CA 94304, USA; Department of Otolaryngology - Head and Neck Surgery, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave, Palo Alto, CA 94304, USA. Electronic address: [email protected]
Doi
PMIDMESH
Abstract
BACKGROUND: Videolaryngoscopy is commonly used by anesthesiologists to manage difficult airways. Recently otolaryngologists have reported use in select procedures; to date there is limited evaluation in head and neck surgery.
MATERIALS AND METHODS: Patients who underwent direct laryngoscopy (DL) with use of GlideScope videolaryngoscopy (GVL) were retrospectively identified from a tertiary care Veterans Affairs hospital. GVL was used to assist or replace traditional laryngoscopes for diagnostic and therapeutic procedures.
RESULTS: Nineteen patients (48-83 years old) underwent 21 procedures. Difficult endotracheal intubation was reported in 53% of patients. GVL replaced traditional DL in 76% of cases, assisted evaluation prior to traditional DL in 10%, and rescued failed traditional DL in 14%. No complications occurred. Three indications for GVL were identified.
DISCUSSION: GVL was safe in our experience and provides unique benefits in selected scenarios in head and neck surgery. Otolaryngologists can consider videolaryngoscopy as a complement to traditional DL.
Keywords: Airway management Laryngoscopy Oropharyngeal neoplasms Otolaryngology Surgical oncology
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Am J Otolaryngolamerican journal of otolaryngology
Metadata
LocationUnited States
FromW B SAUNDERS CO-ELSEVIER INC

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