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British Journal of Anaesthesia, 2001, Vol. 87, No. 3 453-458
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Clinical Investigations

Use of angulated video-intubation laryngoscope in children undergoing manual in-line neck stabilization

M. Weiss* {dagger},1,2, K. Hartmann1, J. E. Fischer2 and A. C. Gerber1

Departments of 1Anaesthesia and 2Intensive Care, University Children’s Hospital, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland*Corresponding author

{dagger} Declaration of interest: Dr Weiss is the inventor of the angulated video-intubation laryngoscope, which has been realised with a local fibre-optic manufacturer (Volpi AG, Schlieren, Switzerland). The manufacturer has provided the equipment for the study without charge. Dr Weiss does not hold any patent rights or agreements on the device nor does he receive any financial support from the manufacturer for the study.

Laryngeal views obtained during direct laryngoscopy with and without manual in-line neck stabilization (MILNS) and during video-assisted intubation with MILNS using the angulated video-intubation laryngoscope were assessed in 100 paediatric patients (aged 0.25–17.3 yr). Visualization of the larynx (Cormack and Lehane score) as well as time taken for video-assisted tracheal intubation by six nurses and four resident anaesthetists not experienced in the technique were recorded. Cormack and Lehane scores were significantly worse during direct laryngoscopy when MILNS was applied. Video-assisted visualization of the larynx during MILNS produced scores, which were as good or better than those observed during direct laryngoscopy alone. Intubation times ranged from 19–75 s (mean 35 (SD 13.4); median 32).

Br J Anaesth 2001; 87: 453–8


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