Videolaryngoscopy utilisation: Facts and opinions

Videolaryngoscopy utilisation: Facts and opinions

AbstractBackgroundVideolaryngoscopy is used in routine and predicted difficult tracheal intubation. McGrath MAC videolaryngoscopes (VLs) are now widely available in our hospitals. We investigated current utilisation of VLs and opinions of anaesthetists regarding VL use. MethodsA snapshot of airway m...

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Bibliographic Details
Published in:Trends in anaesthesia & critical care Vol. 29; pp. 21 - 25
Main Authors: Wylie, Nia W, Phillips, Emma C, Harrington, Julia K, McNarry, Alistair F
Format: Journal Article
Language:English
Published: Elsevier Ltd 01-12-2019
Subjects:
Airway management
Anesthesia
Critical Care
Intratracheal intubation
Video-assisted laryngoscopy
Airway management
Video-assisted laryngoscopy
Intubation
Trends
Intratracheal: instrumentation
Methods
Intratracheal intubation
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Summary:AbstractBackgroundVideolaryngoscopy is used in routine and predicted difficult tracheal intubation. McGrath MAC videolaryngoscopes (VLs) are now widely available in our hospitals. We investigated current utilisation of VLs and opinions of anaesthetists regarding VL use. MethodsA snapshot of airway management strategies was collected from theatres across all three adult sites in our region. A questionnaire was then distributed to anaesthetists working in these sites to explore their opinions regarding videolaryngoscopy. ResultsThe McGrath MAC VL was used in 15.1% of intubations (range from 7.4 to 32.5% across the three sites). One hundred and eight anaesthetists returned the survey (47.8% response rate); 15.7% stated videolaryngoscopy should be a standard of care. The top reasons for VL use were failed direct laryngoscopy, previously documented difficult intubation, and reduced neck extension. Perceived barriers included risk of de-skilling in direct laryngoscopy, cost, and no perceived benefit from videolaryngoscopy. ConclusionWe found less than expected VL use despite good evidence for its benefit. The barriers to use in this group are consistent with existing literature. These perceived barriers must be addressed through education and training to deliver the benefit of regular VL use.
ISSN:2210-8440
DOI:10.1016/j.tacc.2019.09.001