Zusammenfassung
Die Atemwegssicherung auf der Intensivstation oder in der Notfallmedizin ist anspruchsvoll und häufig mit lebensbedrohlichen Komplikationen assoziiert. Eine Innovation im Bereich des Airway-Managements ist die indirekte Laryngoskopie mithilfe von Videolaryngoskopen. Die Methode beruht auf einer Digitalkamera oder einem optischen System an der Spitze eines Laryngoskopiespatels, wodurch ein indirekter „Blick um die Ecke“ auf die Stimmbänder ermöglicht wird. Studien zeigen, dass die Vorteile von Videolaryngoskopen besonders bei einer schwierigen Intubation zum Tragen kommen. Der erfolgreiche Einsatz bei einer problematischen Atemwegssicherung setzt allerdings eine regelmäßige Anwendung in der täglichen Routine unter möglichst kontrollierten Bedingungen voraus. In der Übersicht werden in Deutschland eingesetzte indirekte Laryngoskope beschrieben und aktuelle Studienergebnisse zu dieser neuen Technik vorgestellt.
Abstract
Airway management in intensive care or emergency medicine is particularly challenging and is often associated with life-threatening complications. An innovation in the field of airway management is the use of indirect laryngoscopy by means of video laryngoscopes. A digital camera or an optical system at the tip of a laryngoscope blade enables an indirect “look around the corner” to the glottis. Studies have shown that the advantages of video laryngoscopes for endotracheal intubation are particularly beneficial in difficult airway situations. However, the successful use in challenging intubations requires experience and regular use in daily practice. This review gives an overview of indirect laryngoscopes commonly used in Germany and also presents new study results for these novel devices.
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Interessenkonflikt
Der korrespondierende Autor gibt für sich und seine Koautoren an: Die Firmen Ambu GmbH, Karl-Storz GmbH, Aircraft Medical Ltd., The Surgical Company GmbH, VBM Medizintechnik GmbH und Verathon Medical unterstützen bzw. unterstützten diverse Studien und Ausbildungskurse mit dem Fokus „Atemwegsmanagement“ der Klinik für Anästhesiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz.
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Pirlich, N., Piepho, T., Gervais, H. et al. Indirekte Laryngoskopie/Videolaryngoskopie. Med Klin Intensivmed Notfmed 107, 521–530 (2012). https://doi.org/10.1007/s00063-012-0090-5
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DOI: https://doi.org/10.1007/s00063-012-0090-5