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Volume 5 (January 2008 to December 2009)


 

Pediatric GlideScope Cobalt Videolaryngoscopes

 

 

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 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 5, 2008-2009.
Available from URL:
http://www.adair.at/ijam/volume05/newequipment02/default.htm
Date accessed: month day, year.

 


Last updated: August 18, 2009.


 

We have 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 28 Euro.

 

 

Reference

 

  1. Krasser K, Missaghi SM, Lackner-Ausserhofer H, Moser A, Zadrobilek E. Experiences with the GlideScope Cobalt Video Laryngoscope for orotracheal intubation. Internet Journal of Airway Management 5, 2008-2009. Date accessed: August 18, 2009.


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