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TotalTrack VLM – a new tool for difficult airway management
Authors: T. Brožek 1; P. Michálek 1,2; J. Votruba 3
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze 1; Department of Anaesthetics, Antrim Area Hospital, Antrim, Spojené království Velké Británie a Severního Irska 2; První klinika tuberkulózy a respiračních nemocí, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze 3
Published in: Anest. intenziv. Med., 28, 2017, č. 6, s. 363-366
Category:
Overview
TotalTrack VLM is a new tool for airway management in patients with anticipated difficult intubation. This device is a second generation intubating laryngeal mask with an additional channel for drainage of the gastric contents. The mask allows direct visualization of the larynx using an optical cable. Simultaneously, both oxygenation and ventilation may be provided during attempts for tracheal intubation. We present the first two cases of tracheal intubation using TotalTrack VLM in our department. The first patient had anterior larynx malposition with enlarged epiglottis and repositiong of the mask was required, while the second patient was intubated at the first attempt with the use of a gum-elastic bougie.
Keywords:
TotalTrack VLM – difficult intubation – laryngeal mask
Sources
1. Michalek P, Magboul MM, Toker K, Donaldson W, Ozaki M. Advances and controversies in perioperative airway management. Biomed Res Int. 2016;2016 : 1965623.
2. Michalek P, Donaldson W, Vobrubova E, Hakl M. Complications associated with the use of supraglottic airway devices in perioperative medicine. Biomed Res Int. 2015;2015 : 746560.
3. Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev. 2016;11:CD011136.
4. Michálek P, Donaldson W, McAleavey F, Abraham A, Mathers RJ, Telford C. The i-gel supraglottic airway as a conduit for fibreoptic tracheal intubation: a randomized comparison with the single-use intubating laryngeal mask airway and CTrach laryngeal mask in patients with predicted difficult laryngoscopy. Prague Med Rep. 2016;117 : 164–175.
5. Gomez-Rios MA, Freire-Vila E, Vizcaino-Martinez L, Estevez-Gonzalez E. The Totaltrack: an initial evaluation. Br J Anaesth. 2015;115 : 799–800.
6. Choonoo JO, Hofmeyr R, Evans NR, James MF, Meyersfeld N. A new option in airway management: evaluation of the TotalTrack video laryngeal mask. S Afr J Anaesth Analg. 2016;22 : 52–56.
7. Gaszynski T. TotalTrack video intubating laryngeal mask in super-obese patients – series of cases. Ther Clin Risk Manag. 2016;12 : 335-338.
8. Gaszynski T. The visualization of glottis during intubation´s efforts in super obese patients: a comparison of total track video intubating laryngeal mask and McGrath MAC videolaryngoscope. J Clin Monit Comput. 2016, doi: 10.1007/s10877-016-9947-0.
9. Izquierdo-Gonzalez B, Gomez-Rios MA, Freire-Vila E. Use of the TotalTrack VLM for emergent endotracheal intubation in predicted difficult airway with obstruction by expanding space-occupying lesions and reduced interincisor opening. Rev Esp Anestesiol Reanim. 2017, doi: 10.1016/j.redar.2017.01.004.
10. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115 : 827–848.
Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
Article was published inAnaesthesiology and Intensive Care Medicine
2017 Issue 6-
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