Available online 14 May 2023, 101264

Supraglottic devices (SAD) evolved from simple tools for airway management to devices for multiple uses. The video laryngeal masks include a dead-end channel for a dedicated camera and therefore provide a direct vision capability not only for introduction but also when inserting the tracheal tube throughout the SADs.

Our retrospective consecutive formal case series presents the first thirty uses of SaCoVLM™ video laryngeal mask in our institution. We have used the SaCoVLM™ successfully for airway maintenance, as a conduit in intubation (both elective and in anticipated difficult airway scenarios), and also as a conduit in bronchoscopy, esophagoscopy, and endobronchial ultrasound bronchoscopy. We believe we are the first authors to use this device in the last-mentioned usage. We were able to introduce the SaCoVLM™ and achieve sufficient ventilation in all 30 patients in our case series. Of the 20 cases when the device was used as a conduit to introduce additional devices, we recorded only one failure.

The SaCoVLM™ has the potential to become a versatile device in all the above-mentioned four different scenarios.

Supraglottic device

Intubation

Bronchoscopy

Difficult airway

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