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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

Video vs direct laryngoscopy in the ICU: are we asking the right question?

Authors: Michael Chaim Sklar, Stephen Lapinsky

Published in: Critical Care | Issue 1/2017

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Excerpt

We read with interest the recent publication in JAMA by Lascarrou et al. [1] of video vs direct laryngoscopy for tracheal intubation in intensive care unit (ICU) patients. We are eager to raise an important issue absent from the discussion and its accompanying editorial [2]: the danger of administering drugs to facilitate intubation in hypoxemic and hypotensive patients which may induce apnea and exacerbate hypotension. The mode of laryngoscopy may not matter but the conditions used to facilitate it most certainly do. We advocate for an awake intubation attempt in the critically ill. …
Literature
1.
Lascarrou JB, Boisrame-Helms J, Bailly A, Le Thuaut A, Kamel T, Mercier E, et al. Video laryngoscopy vs direct laryngoscopy on successful first-pass orotracheal intubation among ICU patients: a randomized clinical trial. JAMA. 2017;317(5):483–93. doi:10.​1001/​jama.​2016.​20603.​
2.
O’Gara B, Brown S, Talmor D. Video laryngoscopy in the intensive care unit: seeing is believing, but that does not mean it’s true. JAMA. 2017;317(5):479–80. doi:10.​1001/​jama.​2016.​21036.
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5.
Gupta S, Macneil R, Bryson G. Laryngoscopy in conscious patients with remifentanil: how useful is an “awake look”? J Clin Anesth. 2012;24:19–24.CrossRefPubMed
Metadata
Title
Video vs direct laryngoscopy in the ICU: are we asking the right question?
Authors
Michael Chaim Sklar
Stephen Lapinsky
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1701-6

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