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Volume 5 (January 2008 to December 2009)


 

Pediatric Airtraq Optical Laryngoscopes for Orotracheal Intubation

 

 

Ernst Zadrobilek, MD1

 

1Associate Professor of Anesthesia and Intensive Care, Chairman of the Austrian Working Group for Airway Management and Director of the Department of Anesthesia and Intensive Care, Empress Elisabeth Hospital of the City of Vienna, Vienna, Austria.

 

Address correspondence and comments to Ernst Zadrobilek.

 

Received from Empress Elisabeth Hospital of the City of Vienna, Vienna, Austria.

 

Published: August 10, 2009.

 


 

The correct citation of this communiction of new equipment and techniques is:

Zadrobilek E. Pediatric Airtraq Optical Laryngoscopes for orotracheal intubation. Internet Journal of Airway Management 5, 2008-2009.
Available from URL:
http://www.adair.at/ijam/volume05/newequipment01/default.htm
Date accessed: month day, year.

 


Last updated: August 10, 2009.


 

We have favorable experiences with the disposable Airtraq Optical Laryngoscope (AOL; manufactured by Prodol Meditec, Vizcaya, Spain) for orotracheal intubation in adult patients with a wide range of conventional laryngoscopic views (1, 2). Performed by novice but instructed operators with prior hands-on training on a suitable airway model, tracheal intubation was successful after a maximum of two attempts with a remarkable first-attempt success of 97 percent.

 

The AOL allows for the transmission of a color image to the view finder at the proximal end of the laryngoscope handle by internal arrangements of optical components, usually providing the operator a panoramic view of the laryngeal aperture when properly inserted and advancement of the tracheal tube (TT) from the tube guide channel into a midtracheal position may then be easy to perform. The AOLs for adult patients are available in two sizes: the regular size 3 AOL, blue-coded, maximum thickness of the blade: 18 mm, for TTs with an inner diameter (ID) from 7.0 to 8.5 mm, and the small size 2 AOL, green-coded, maximum thickness of the blade: 16 mm, for TTs with an ID from 6.0 to 7.5 mm.  

 

The manufacturer recently launched AOLs for orotracheal intubation of pediatric patients: the pediatric size 1 AOL, pink-coded, maximum thickness of the blade: 12.5 mm, for TTs with an ID from 3.5 to 5.5 mm, and later, the infant size 0 AOL, gray-coded, maximum thickness of the blade: 12.5 mm, for TTs with an ID from 2.5 to 3.5 mm. Unfortunately, there are currently no studies available on the safe and successful use of these AOLs in pediatric patients.

 

The costs of the pediatric and infant AOL are about 48 Euro (exclusive value-added taxes, according to the offer of the Austrian distributor of the AOL, queried in August 2009).

 

 

References

  1. Missaghi SM, Krasser K, Lackner-Ausserhofer H, Moser A, Zadrobilek E. The Airtraq Optical Laryngoscope: experiences with a new disposable device for orotracheal intubation. Internet Journal of Airway Management 4, 2006-2007. Date accessed: August 10, 2009.

  2. Missaghi SM, Krasser K, Moser A, Lackner-Ausserhofer H, Zadrobilek E. Teaching and training of emergency and internal medicine residents in orotracheal intubation using the Airtraq Optical Laryngoscope. Internet Journal of Airway Management 5, 2008-2009. Date accessed: August 10, 2009.


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