THE SYSTEMATIC REVIEW OF ADULTS AIRWAY DEVICES IN AWAKE TRACHEAL INTUBATION
DOI:
https://doi.org/10.61841/rgw9fj66Keywords:
Airway devices, awake tracheal intubationAbstract
Background: Although flexible bronchoscopes are often used for awake tracheal intubation, other airway instruments including videolaryngoscopes, direct laryngoscopes, and optical stylets are becoming more and more useful.
Aims : This systematic review is to review the the effects for airway devices on patients with awake tracheal intubation.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed and SCIENCE DIRECT, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: In the PubMed database, the results of our search brought up 431 articles, whereas the results of our search on SCIENCE DIRECT brought up 289 articles. The results of the search conducted for the last year of 2014 yielded a total 23 articles for PubMed and 115 articles for SCIENCE DIRECT. In the end, we compiled a total of 6 papers, 5 of which came from PubMed and 1 of which came from SCIENCE DIRECT. We included six research that met the criteria.
Conclusion: In summary, in the context of awake tracheal intubation, flexible bronchoscopes, optical stylets, and channelled and unchannelled videolaryngoscopes were clinically equivalent airway devices. The time to tracheal intubation was longest with flexible bronchoscopes and shortest with optical stylets.
References
Vora J, Leslie D, Stacey M. Awake tracheal intubation. Vol. 22, BJA Education. Elsevier Ltd; 2022. p. 298–305.
Leslie D, Stacey M. Awake intubation. Continuing Education in Anaesthesia, Critical Care and Pain. 2015 Apr 1;15(2):64–7.
Saunders TG, Gibbins ML, Seller CA, Kelly FE, Cook TM. Videolaryngoscope-assisted flexible intubation tracheal tube exchange in a patient with a difficult airway. Anesthesia Reports. 2019 Jan 1;7(1):22–5.
Ahmad I, El-Boghdadly K, Bhagrath R, Hodzovic I, McNarry AF, Mir F, et al. Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults. Anaesthesia. 2020 Apr 1;75(4):509–28.
Crawley SM, Dalton AJ. Predicting the difficult airway. BJA Educ. 2015 Oct 1;15(5):253–8.
Khalifa OSM. Evaluation of Ambu aScopeTM 2 in awake nasotracheal intubation in anticipated difficult airway using conventional or facilitated technique: A randomized controlled trial. Egypt J Anaesth. 2015 Oct 1;31(4):269–75.
Cheng T, Wang LK, Wu HY, Yang XD, Zhang X, Jiao L. Shikani Optical Stylet for Awake Nasal Intubation in Patients Undergoing Head and Neck Surgery. Laryngoscope. 2021;131(2):319–25.
Yadav U, Kumar A, Gupta P. A Comparative Study of Airway Nerve Blocks and Atomized Lidocaine by the Laryngo-Tracheal Mucosal Atomization Device (LMA MADgic) Airway for Oral Awake Fiberoptic Intubation. Cureus. 2021 Jun 20;
Chavan G, Chavan AU, Patel S, Anjankar V, Gaikwad P. Airway Blocks Vs LA Nebulization- An interventional trial for Awake Fiberoptic Bronchoscope assisted Nasotracheal Intubation in Oral Malignancies. Asian Pacific Journal of Cancer Prevention. 2020 Dec 1;21(12):3613–7.
Mohanta J, Kumar A, Kaushal A, Talawar P, Gupta P, Jain G. Anaesthesia for Awake Fiberoptic Intubation: Ultrasound-Guided Airway Nerve Block versus Ultrasonic Nebulisation with Lignocaine. Discoveries [Internet]. 2021 Mar 31;9(1):e125. Available from: https://discoveriesjournals.org/discoveries/D.2021.01.OA-Kumar.DOI
Singh J, Shakya S, Shrestha B, Subedi B, Singh PB. Awake Fiberoptic Intubation in Cervical Spine Injury: A Comparison between Atomized Local Anesthesia versus Airway Nerve Blocks. Kathmandu Univ Med J (KUMJ). 2018;16(64):323–7.
Cabrini L, Redaelli MB, Ball L, Filippini M, Fominskiy E, Pintaudi M, et al. Awake Fiberoptic Intubation Protocols in the Operating Room for Anticipated Difficult Airway: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Anesth Analg. 2019;128(5):971–80.
Wong DDL, Bailey CR. Emergence delirium in children. Vol. 70, Anaesthesia. 2015. p. 383–7.
Ahmad I, Bailey CR. Time to abandon awake fibreoptic intubation? Vol. 71, Anaesthesia. Blackwell Publishing Ltd; 2016. p. 12–6.
Wilson WM, Smith AF. The emerging role of awake videolaryngoscopy in airway management. Vol. 73, Anaesthesia. Blackwell Publishing Ltd; 2018. p. 1058–61.
Gostelow N, Yeow D. Awake tracheal intubation: a narrative review. Journal of Oral and Maxillofacial Anesthesia. 2023;2.
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