Pediatric GlideScope Cobalt Videolaryngoscopes
Ernst Zadrobilek, MD1
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
Address correspondence and comments to
Received from Empress Elisabeth Hospital
of the City of Vienna, Vienna, Austria.
August 18, 2009.
The correct citation of this
communiction of new equipment and techniques is:
Zadrobilek E. Pediatric
GlideScope Cobalt Video Laryngoscopes. Internet Journal of Airway Management
Available from URL:
Date accessed: month day, year.
updated: August 18, 2009.
favorable experiences with the GlideScope Cobalt Video Laryngoscope (GCVL; manufactured by
Verathon Medical, Bothell, Washington, United States) for orotracheal intubation
of adult patients with a wide range of conventional laryngoscopic views (1). Performed by
experienced users of previous models and systems of the GlideScope Video
Laryngoscope (GVL), tracheal intubation was
successful after a maximum of two attempts with a
remarkable first-attempt success of 98 percent.
The GCVL for
adult patients consists of a handle and a flexible camera unit for use with
dedicated disposable laryngoscope blades (DLBs), available in two sizes with
a maximum thickness of 16.5 mm and covering also the handle of the GCVL. The DBLs prevent contact of the
GCVL with the patient and offer a potential advantage with respect to
decreased disease transmission folllowing the current trend of using
disposable medical devices whenever possible.
The manufacturer of the GVL recently launched a GCVL for tracheal
intubation of pediatric patients and use of the pediatric DBL size 2 and
the infant DBL size 1, both with a maximum thickness of 9 mm. Unfortunately, there are currently
no studies available on the safe and successful use of the GCVL in pediatric patients.
The aquisition costs of
the pediatric GCVL
together with the monitor of the Portable GlideScope Video
System and the replacement
costs of the GCVL are about 10700 and 4500 Euro (exclusive value-added taxes,
according to the offer of the Austrian distributor of the GVL, queried in
August 2009), respectively; the costs of the pediatric and infant DLB are about
Krasser K, Missaghi SM, Lackner-Ausserhofer H, Moser A, Zadrobilek E.
Experiences with the GlideScope Cobalt Video Laryngoscope for orotracheal
Internet Journal of Airway Management
5, 2008-2009. Date accessed: August 18, 2009.