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Emerg Med J ; 37(6): 381-383, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-805011


A short-cut review of the literature was carried out to examine whether video laryngoscopy (VL) could improve first-pass success and reduce complication rates in ED patients requiring endotracheal intubation, when compared with direct laryngoscopy. Four papers were identified as suitable for inclusion using the reported search strategy. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of the best papers are tabulated. It is concluded that current evidence suggests VL is likely to improve first-pass success and reduce oesophageal intubation rates, but there is no evidence at present that it improves clinically relevant outcomes. In addition, no difference was found between first-pass success rates in senior/experienced operators, who should use techniques with which they are familiar.

Intubation, Intratracheal/instrumentation , Intubation, Intratracheal/standards , Laryngoscopy/standards , Video Recording/instrumentation , Adult , Emergency Service, Hospital/organization & administration , Emergency Service, Hospital/trends , Humans , Intubation, Intratracheal/methods , Laryngoscopy/methods , Laryngoscopy/statistics & numerical data , Video Recording/methods , Video Recording/trends
J Laryngol Otol ; 134(8): 744-746, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-717086


BACKGROUND: Fibre-optic nasoendoscopy and fibre-optic laryngoscopy are high-risk procedures in the coronavirus disease 2019 era, as they are potential aerosol-generating procedures. Barrier protection remains key to preventing transmission. METHODS: A device was developed that patients can wear to reduce potential aerosol contamination of the surroundings. CONCLUSION: This device is simple, reproducible, easy to use, economical and well-tolerated. Full personal protection equipment should additionally be worn by the operator.

Body Fluids/virology , Coronavirus Infections/transmission , Endoscopy/adverse effects , Laryngoscopy/standards , Personal Protective Equipment/virology , Pneumonia, Viral/transmission , Aerosols , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/virology , Disease Transmission, Infectious/prevention & control , Endoscopy/standards , Equipment Design , Humans , Nose/diagnostic imaging , Otolaryngologists/statistics & numerical data , Pandemics , Personal Protective Equipment/standards , Pneumonia, Viral/epidemiology , Pneumonia, Viral/virology , SARS-CoV-2 , Surveys and Questionnaires