Use Video Laryngoscopy for Patients in Cervical Spine Precautions

In this randomized operating-room study, the McGrath Series 5 video laryngoscope led to better glottic views and fewer intubation failures compared with direct laryngoscopy.

Previous studies have shown McGrath video laryngoscopy to be superior to direct laryngoscopy when patients are intubated with manual in-line cervical stabilization and an opened collar (NEJM JW Emerg Med Oct 2014 and Anaesthesia 2014; 69:1345; NEJM JW Emerg Med Mar 2013 and Anaesthesia 2013; 68:142). Whether this holds true when a semi-rigid collar is left in place is unknown.

Investigators applied a semi-rigid collar to each of 50 patients without known cervical spine injury or pathology who were undergoing elective surgery. Patients were then randomized to laryngoscopy first with a Macintosh laryngoscope followed by intubation with a McGrath Series 5 video laryngoscope or to the opposite sequence. A malleable stylet with a 60° bend was use…

Reviewing Author

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

Use Video Laryngoscopy for Patients in Cervical Spine Precautions

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Reviewing Author