TY - JOUR
T1 - Seldinger-Assisted Videotelescopic Intubation (SAVI)
T2 - A Common Sense Approach to the Difficult Pediatric Airway
AU - Michaelson, Peter G.
AU - Mair, Eric A.
PY - 2005/5
Y1 - 2005/5
N2 -
OBJECTIVES
To describe the Seldinger-assisted videotelescopic
intubation (SAVI) technique, a complementary method for aiding in
difficult pedi-atric intubations that uses common equipment available to
the practicing otolaryngologist.
STUDY DESIGN
Technique description.
METHODS
Detailed description of technique for use of a
pediatric laryngoscope with video-assisted endotracheal tube (ETT)
covered rigid tracheoscopy controlled intubation in difficult pediatric
airways.
RESULTS
In our practice, SAVI is vital in establishing a
secure airway in the difficult-to-intubate child. After insertion of a
laryngoscope, an appropriate sized endotracheal tube is delivered
through the glottis under direct video-visualization from a rigid
telescope using a variation of the well-established Seldinger technique.
The telescope serves as the stable ETT stylet that also provides
panoramic visualization. The ETT slides over the telescope to provide a
secure airway directly visible to all in the operating room. Benefits of
the SAVI technique to previously described video-assisted intubations
with flexible or specially designed endoscope devices include decreased
cost, employment of previously existing endoscopy skills, the benefit of
rigid delivery of the endotracheal tube as well as innate versatility
to a multitude of clinical situations.
CONCLUSIONS
The SAVI technique offers an additional practical
clinical solution to the difficult pediatric airway. Although ultimately
establishing the airway depends on the skills of the operator, the SAVI
technique has saved multiple lives by using common equipment through a
common-sense approach. EBM rating: D. (Otolaryngol Head Neck Surg
2005;132:677-680.)
AB -
OBJECTIVES
To describe the Seldinger-assisted videotelescopic
intubation (SAVI) technique, a complementary method for aiding in
difficult pedi-atric intubations that uses common equipment available to
the practicing otolaryngologist.
STUDY DESIGN
Technique description.
METHODS
Detailed description of technique for use of a
pediatric laryngoscope with video-assisted endotracheal tube (ETT)
covered rigid tracheoscopy controlled intubation in difficult pediatric
airways.
RESULTS
In our practice, SAVI is vital in establishing a
secure airway in the difficult-to-intubate child. After insertion of a
laryngoscope, an appropriate sized endotracheal tube is delivered
through the glottis under direct video-visualization from a rigid
telescope using a variation of the well-established Seldinger technique.
The telescope serves as the stable ETT stylet that also provides
panoramic visualization. The ETT slides over the telescope to provide a
secure airway directly visible to all in the operating room. Benefits of
the SAVI technique to previously described video-assisted intubations
with flexible or specially designed endoscope devices include decreased
cost, employment of previously existing endoscopy skills, the benefit of
rigid delivery of the endotracheal tube as well as innate versatility
to a multitude of clinical situations.
CONCLUSIONS
The SAVI technique offers an additional practical
clinical solution to the difficult pediatric airway. Although ultimately
establishing the airway depends on the skills of the operator, the SAVI
technique has saved multiple lives by using common equipment through a
common-sense approach. EBM rating: D. (Otolaryngol Head Neck Surg
2005;132:677-680.)
KW - Child
KW - Endoscopy
KW - Humans
KW - Intubation, Inratracheal
KW - Otolaryngology
KW - Video-Assisted Surgery
UR - http://www.scopus.com/inward/record.url?scp=18844447429&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=18844447429&partnerID=8YFLogxK
UR - https://corescholar.libraries.wright.edu/surg/457
U2 - 10.1016/j.otohns.2004.12.011
DO - 10.1016/j.otohns.2004.12.011
M3 - Article
C2 - 15886616
SN - 0194-5998
VL - 132
SP - 677
EP - 680
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 5
ER -