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Critical Care
Published in: Critical Care 1/2019

Open Access 01-12-2019 | Laryngoscopy | Viewpoint

Videolaryngoscopy in critically ill patients

Authors: Samir Jaber, Audrey De Jong, Paolo Pelosi, Luca Cabrini, Jean Reignier, Jean Baptiste Lascarrou

Published in: Critical Care | Issue 1/2019

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Abstract

Intubation is frequently required for patients in the intensive care unit (ICU) but is associated with high morbidity and mortality mainly in emergency procedures and in the presence of severe organ failures. Improving the intubation procedure is a major goal for all ICU physicians worldwide, and videolaryngoscopy may play a relevant role.
Videolaryngoscopes are a heterogeneous entity, including Macintosh blade-shaped optical laryngoscopes, anatomically shaped blade without a tube guide and anatomically shaped blade with a tube guide, which might have theoretical benefits and pitfalls. Videolaryngoscope/videolaryngoscopy improves glottis view and allows supervision by an expert during the intubation process; however, randomized controlled trials in the ICU suggest that the systematic use of videolaryngoscopes for every intubation cannot yet be recommended, especially in non-expert hands. Nevertheless, a videolaryngoscope should be available in all ICUs as a powerful tool to rescue difficult intubation or unsuccessful first-pass laryngoscopy, especially in expert hands.
The use of associated devices such as bougie or stylet, glottis view needed (full vs incomplete) and patient position during intubation (ramped, sniffed position) should be further evaluated. Future trials will better define the role of videolaryngoscopy in ICU.
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Metadata
Title
Videolaryngoscopy in critically ill patients
Authors
Samir Jaber
Audrey De Jong
Paolo Pelosi
Luca Cabrini
Jean Reignier
Jean Baptiste Lascarrou
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2019
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-019-2487-5

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