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The use of VivaSight™ single lumen endotracheal tube in morbidly obese patients undergoing laparoscopic sleeve gastrectomy.

Barak M, Assalia A, Mahajna A, Bishara B, Braginski A, Kluger Y - BMC Anesthesiol (2014)

Bottom Line: Data on the patients, the pre-operative airway evaluation, the endotracheal intubation and the post-operative outcome were collected and compared.The Mallampati scores were significantly higher in the test group than in the control group.Endotracheal intubation took 29 ± 10 and 24 ± 8 seconds using the VivaSight™ and a conventional tube respectively (p = 0.02).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Anesthesiology, Rambam Health Care Campus, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

ABSTRACT

Background: The population of obese patients is progressively growing and bariatric operations are becoming increasingly common. Morbidly obese patients require special anesthetic care and are often considered to be difficult to ventilate and intubate. The VivaSight™ Single Lumen tube is an endotracheal tube with a camera embedded in its tip. The view from the tip appears continuously on a monitor in the anesthesiologist's vicinity. The aim of this study was to assess the VivaSight™ in comparison with conventional endotracheal tube as an aid in the intubation and surveillance of tube position during surgery of obese patients.

Methods: This is a prospective study of 72 adult obese patients who underwent laparoscopic sleeve gastrectomy. The patients were randomly assigned to be intubated by either the VivaSight™ (40 patients, test group) or a conventional endotracheal tube (32 patients, control group). Data on the patients, the pre-operative airway evaluation, the endotracheal intubation and the post-operative outcome were collected and compared.

Results: The Mallampati scores were significantly higher in the test group than in the control group. Endotracheal intubation took 29 ± 10 and 24 ± 8 seconds using the VivaSight™ and a conventional tube respectively (p = 0.02). Three of the patients in the control group, while none of those in the test group, had soft tissue injury (p < 0.05).

Conclusion: We found the VivaSight™ SL to be helpful in the endotracheal intubation and continuous surveillance of tube position in morbidly obese patients undergoing laparoscopic sleeve gastrectomy.

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Related in: MedlinePlus

The patient after endotracheal intubation with the VivaSight™ SL endotracheal tube. The patient's carina is seen on the screen of the VivaSight™ monitor.
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Figure 3: The patient after endotracheal intubation with the VivaSight™ SL endotracheal tube. The patient's carina is seen on the screen of the VivaSight™ monitor.

Mentions: The VivaSight™ Single Lumen (SL) endotracheal tube (ETT) (ETView Ltd., Misgav 20174 Israel) is a single-use ETT with an integrated high-resolution imaging camera embedded in the tube's tip (Figure 1)[13,14]. The external structure and dimensions of the VivaSight™ SL ETT are similar to those of the conventional ETT, and the device is available in sizes 7.0, 7.5 and 8.0 mm. The view from the tube tip appears continuously on a portable monitor (Figures 2,3) in the anesthesiologist's vicinity. According to the manufacturer, the appliance (a) facilitates fast and efficient intubation, (b) provides visual assurance during intubation, and (c) permits continuous, real-time images of tube position, which can be viewed on a battery- or cable-operated liquid-crystal display (LCD) monitor. The VivaSight™ SL has United States Food and Drug Administration approval and the CE marking.


The use of VivaSight™ single lumen endotracheal tube in morbidly obese patients undergoing laparoscopic sleeve gastrectomy.

Barak M, Assalia A, Mahajna A, Bishara B, Braginski A, Kluger Y - BMC Anesthesiol (2014)

The patient after endotracheal intubation with the VivaSight™ SL endotracheal tube. The patient's carina is seen on the screen of the VivaSight™ monitor.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4016667&req=5

Figure 3: The patient after endotracheal intubation with the VivaSight™ SL endotracheal tube. The patient's carina is seen on the screen of the VivaSight™ monitor.
Mentions: The VivaSight™ Single Lumen (SL) endotracheal tube (ETT) (ETView Ltd., Misgav 20174 Israel) is a single-use ETT with an integrated high-resolution imaging camera embedded in the tube's tip (Figure 1)[13,14]. The external structure and dimensions of the VivaSight™ SL ETT are similar to those of the conventional ETT, and the device is available in sizes 7.0, 7.5 and 8.0 mm. The view from the tube tip appears continuously on a portable monitor (Figures 2,3) in the anesthesiologist's vicinity. According to the manufacturer, the appliance (a) facilitates fast and efficient intubation, (b) provides visual assurance during intubation, and (c) permits continuous, real-time images of tube position, which can be viewed on a battery- or cable-operated liquid-crystal display (LCD) monitor. The VivaSight™ SL has United States Food and Drug Administration approval and the CE marking.

Bottom Line: Data on the patients, the pre-operative airway evaluation, the endotracheal intubation and the post-operative outcome were collected and compared.The Mallampati scores were significantly higher in the test group than in the control group.Endotracheal intubation took 29 ± 10 and 24 ± 8 seconds using the VivaSight™ and a conventional tube respectively (p = 0.02).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Anesthesiology, Rambam Health Care Campus, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

ABSTRACT

Background: The population of obese patients is progressively growing and bariatric operations are becoming increasingly common. Morbidly obese patients require special anesthetic care and are often considered to be difficult to ventilate and intubate. The VivaSight™ Single Lumen tube is an endotracheal tube with a camera embedded in its tip. The view from the tip appears continuously on a monitor in the anesthesiologist's vicinity. The aim of this study was to assess the VivaSight™ in comparison with conventional endotracheal tube as an aid in the intubation and surveillance of tube position during surgery of obese patients.

Methods: This is a prospective study of 72 adult obese patients who underwent laparoscopic sleeve gastrectomy. The patients were randomly assigned to be intubated by either the VivaSight™ (40 patients, test group) or a conventional endotracheal tube (32 patients, control group). Data on the patients, the pre-operative airway evaluation, the endotracheal intubation and the post-operative outcome were collected and compared.

Results: The Mallampati scores were significantly higher in the test group than in the control group. Endotracheal intubation took 29 ± 10 and 24 ± 8 seconds using the VivaSight™ and a conventional tube respectively (p = 0.02). Three of the patients in the control group, while none of those in the test group, had soft tissue injury (p < 0.05).

Conclusion: We found the VivaSight™ SL to be helpful in the endotracheal intubation and continuous surveillance of tube position in morbidly obese patients undergoing laparoscopic sleeve gastrectomy.

Show MeSH
Related in: MedlinePlus