Presented at the American Laryngological Association Annual Meeting, Chicago, IL, April 27, 2011.
How I do It
Article first published online: 24 AUG 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 11, pages 2391–2393, November 2011
How to Cite
Weissbrod, P. A. and Merati, A. L. (2011), Reducing injury during video-assisted endotracheal intubation: The “Smart Stylet” concept. The Laryngoscope, 121: 2391–2393. doi: 10.1002/lary.22167
The authors have no financial disclosures for this article.
The authors have no conflicts of interest to disclose.
- Issue published online: 21 OCT 2011
- Article first published online: 24 AUG 2011
- Accepted manuscript online: 20 JUL 2011 11:10AM EST
- Manuscript Accepted: 22 JUN 2011
- Manuscript Received: 31 MAR 2011
- “smart” stylet
Video-assisted endoscopic intubation (VAEI) has gained wide use in anesthesiology when difficult intubation is encountered. Even when excellent visualization of the larynx is achieved with VAEI, successful intubation can be difficult and/or traumatic due to awkward angles and rigid stylets. Presented is a modification of standard VAEI procedure that allows for minimization of intubation trauma.
Technical description of VAEI with “smart stylet” for laryngeal surgical patients.
For difficult intubations, a GlideScope™, a type of VAEI, is used in combination with a flexible bronchoscope acting as a “smart” stylet. The bronchoscope is not used for its light or fiberoptic capacity, but rather as a manipulatable stylet for the endotracheal tube. The technical description of this technique is presented with illustrative images and online video content.
The “smart stylet” concept allows for successful and safe endotracheal intubation when used with the Glidescope™.