Recent Technological Advances in Airway Management

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Matioc AA. An anesthesiologist’s perspective on the history of basic airway management: the “modern” era, 1960 to present. Anesthesiology. 2019;130(5):686–711. https://doi.org/10.1097/ALN.0000000000002646. PMID: 30829659.

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•• Vasconcelos Pereira A, Simões AV, Rego L, Pereira JG. New technologies in airway management: a review. Medicine (Baltimore). 2022;101(48):e32084. https://doi.org/10.1097/MD.0000000000032084. PMID: 36482552; PMCID: PMC9726337. Provides comprehensive review of recent technological advancements in airway management.

Xia M, Ma W, Zuo M, Deng X, Xue F, Battaglini D, Aggarwal V, Varrassi G, Cerny V, Di Giacinto I, Cataldo R, Ma D, Yamamoto T, Rekatsina M, De Cassai A, Carsetti A, Chang MG, Seet E, Davis DP, Irwin MG, Huang Y, Jiang H. Expert consensus on difficult airway assessment. Hepatobiliary Surg Nutr. 2023;12(4):545–566. https://doi.org/10.21037/hbsn-23-46. Epub 2023 May 19. PMID: 37600997; PMCID: PMC10432292.

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• Chowdhury AR, Punj J, Pandey R, Darlong V, Sinha R, Bhoi D. Ultrasound is a reliable and faster tool for confirmation of endotracheal intubation compared to chest auscultation and capnography when performed by novice anaesthesia residents - a prospective controlled clinical trial. Saudi J Anaesth. 2020;14(1):15–21. https://doi.org/10.4103/sja.SJA_180_19. Epub 2020 Jan 6. PMID: 31998014; PMCID: PMC6970360. Provides valuable insight regarding the usefulness of ultrasonography during ETT placement.

Topcu H, Ozçiftçi S, Şahiner Y. Comparative effectiveness of real-time ultrasound-guided tracheostomy and anatomic landmark percutaneous dilatational tracheostomy: a retrospective cohort study. Eur Rev Med Pharmacol Sci. 2022;26(21):7883–91. https://doi.org/10.26355/eurrev_202211_30139. PMID: 36394736.

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• Nalubola S, Jin E, Drugge ED, Weber G, Abramowicz AE. Video versus direct laryngoscopy in novice intubators: a systematic review and meta-analysis. Cureus. 2022;14(9): e29578. https://doi.org/10.7759/cureus.29578.PMID:36312614;PMCID:PMC9595268Illustrates the impact of video laryngoscopy and its utility for novice providers and students.

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ADROIT® Surgical. Vie Scope®. Adroit Surgical, Oklahoma City, Oklahoma. [Apparatus] https://adroitsurgical.com/

Maslanka M, Smereka J, Czyzewski L, Ladny JR, Dabrowski M, Szarpak L. Vie scope® laryngoscope versus Macintosh laryngoscope with personal protective equipment during intubation of COVID-19 resuscitation patient. Am J Emerg Med. 2021 Aug;46:788–789. https://doi.org/10.1016/j.ajem.2020.08.085. Epub 2020 Sep 4. PMID: 32967784; PMCID: PMC7471714.

Kristensen MS, Fried E, Biro P. Infrared Red Intubation System (IRRIS) guided flexile videoscope assisted difficult airway management. Acta Anaesthesiol Scand. 2018;62(1):19–25. https://doi.org/10.1111/aas.13016. Epub 2017 Oct 24 PMID: 29063583.

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Bhaskar SB. Newer airway assessment techniques: a view on their utility. Indian J Anaesth. 2017;61(10):779–81. https://doi.org/10.4103/ija.IJA_625_17.PMID:29242647;PMCID:PMC5664880.

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Goto T, Goto Y, Hagiwara Y, Okamoto H, Watase H, Hasegawa K. Advancing emergency airway management practice and research. Acute Med Surg. 2019;6(4):336–51. https://doi.org/10.1002/ams2.428. PMID: 31592072; PMCID: PMC6773646.

• Yamanaka S, Goto T, Morikawa K, Watase H, Okamoto H, Hagiwara Y, Hasegawa K. Machine learning approaches for predicting difficult airway and first-pass success in the emergency department: multicenter prospective observational study. Interact J Med Res. 2022;11(1): e28366. https://doi.org/10.2196/28366. PMID: 35076398; PMCID: PMC8826144 . Illustrates the value of artificial intelligence in difficult airway management.

Hayasaka T, Kawano K, Kurihara K, Suzuki H, Nakane M, Kawamae K. Creation of an artificial intelligence model for intubation difficulty classification by deep learning (convolutional neural network) using face images: an observational study. J Intensive Care. 2021;9(1):38. https://doi.org/10.1186/s40560-021-00551-x. PMID: 33952341; PMCID: PMC8101256.

Biro P, Hofmann P, Gage D, Boehler Q, Chautems C, Braun J, Spahn DR, Nelson BJ. Automated tracheal intubation in an airway manikin using a robotic endoscope: a proof of concept study. Anaesthesia. 2020;75(7):881–6. https://doi.org/10.1111/anae.14945. Epub 2020 Jan 3 PMID: 31900928.

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Levin BS, Chang MG, Bittner EA. Teleguidance technology for endotracheal intubation: a scoping review. Crit Care Explor. 2021;3(12): e0582. https://doi.org/10.1097/CCE.0000000000000582. PMID: 34909695; PMCID: PMC8663862 .

Spencer RJ, Chang PH, Guimaraes AR, Firth PG. The use of Google Glass for airway assessment and management. Paediatr Anaesth. 2014;24(9):1009–11. https://doi.org/10.1111/pan.12496. Epub 2014 Jul 21 PMID: 25039494.

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Alismail A, Thomas J, Daher NS, Almutairi W, Terry MH, Huang C, Tan LD. Augmented reality glasses improve adherence to evidence-based intubation practice. Adv Med Educ Pract. 2019;10:279–86. https://doi.org/10.2147/AMEP.S201640.

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Medtronic. SonarMedTM Airway Monitoring System. Medtronic, Minneapolis, Minnesota. [Apparatus] https://www.medtronic.com/covidien/en-us/products/airway-monitoring-systems/sonarmed-airway-monitoring-system.html

Meyers JM, Pinheiro J, Nelson MU. Unplanned extubation in NICU patients: are we speaking the same language? J Perinatol. 2015;35(9):676–7. https://doi.org/10.1038/jp.2015.55. PMID: 26310315.

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Medtronic. Medtronic Capnostream™ 35. Medtronic, Minneapolis, Minnesota. [Apparatus] https://www.medtronic.com/covidien/en-us/products/airway-monitoring-systems/sonarmed-airway-monitoring-system.html

Medtronic. CapnostreamTM 35 Portable Respiratory Monitor. Medtronic, Minneapolis, Minnesota. [Apparatus]. https://www.medtronic.com/covidien/en-us/products/capnography/capnostream-35-portable-respiratory-monitor.html

• Simon LV, Torp KD. Laryngeal Mask Airway. 2022 Jul 25. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29489214. Describes the value of a laryngeal mask away compared to the traditional bag valve mask.

Kumar T, Bharati, Suman S, Kumar S, Acharya G, Lakra L. Supraglottic airway devices versus endotracheal intubation for laparoscopic surgeries: an updated systematic review and meta-analysis of randomised controlled trials. Indian J Anaesth. 2023;67(5):409–419. https://doi.org/10.4103/ija.ija_398_22

Gordon J, Cooper RM, Parotto M. Supraglottic airway devices: indications, contraindications and management. Minerva Anestesiol. 2018;84(3):389–97. https://doi.org/10.23736/S0375-9393.17.12112-7. Epub 2017 Oct 12 PMID: 29027772.

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• Kumar T, Bharati, Suman S, Kumar S, Acharya G, Lakra L. Supraglottic airway devices versus endotracheal intubation for laparoscopic surgeries: an updated systematic review and meta-analysis of randomised controlled trials. Indian J Anaesth. 2023;67(5):409–419. https://doi.org/10.4103/ija.ija_398_22. Epub 2023 May 11. PMID: 37333696; PMCID: PMC10269978. Provides comprehensive review of supraglottic airway devices and how they may be beneficial in avoiding side effects seen with endotracheal intubation.

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