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Introduction:

Introduction:. Results:.

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Introduction:

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  1. Introduction: Results: This investigation evaluates the use of the Glidescope video laryngoscope at two large tertiary care academic medical centers utilizing anesthesia information management systems. The study aims to identify the success rate of Glidescope intubation in normal airways, in airways predicted to be difficult by direct laryngoscopy, and after failed direct laryngoscopy. 2,004 Glidescope intubations were recorded and included for analysis out of 71,570 potential intubations. The Glidescope was used to successfully intubate with one attempt 1,610/1,755= 92% and 1,712/1,755= 98% for one or more attempts. The Glidescope was used in patients without any predictors of difficult direct laryngoscopy 576 times (24%). The success rate for this group was 98%. For patients with at least one predictor of difficult direct laryngoscopy (1428), the success rate was 96%. The Glidescope rescued a failed direct laryngoscopy 224/239= 94%. Several cases were identified where the Glidescope rescued failed flexible fiberoptic intubation 7/10. The Role of the GlidescopeVideolaryngoscope in the Difficult Airway1Michael Aziz, M.D., David Healy, M.D., F.R.C.A., M.R.C.P., Sachin Kheterpal, M.D., Dawn Dillman, M.D., Ansgar Brambrink, M.D., Ph.D. • Methods: Electronic anesthesia information systems at two large tertiary care academic medical centers were queried for Glidescope intubations. Patient history and physical examination details regarding airway management were evaluated as well as the intubation narrative from the anesthetic record. Each intubation was classified into categories to determine the role of the Glidescope during the intubation sequence. Conclusion: This investigation speaks to the effectiveness of the Glidescope for intubation of patients who have known or predicted difficult airways. Results from this study merit consideration for use of rigid videolaryngoscopes in the management of difficult airways. Aziz, M. Healy, D. Kheterpal, S. Fu, R. Dillman, D. Brambrink, A. The Routine Clinical Practice Effectiveness of the Glidescope in Difficult Airway Management: An Analysis of 2,004 Glidescope Intubations, Complications, and Failures from Two Institutions. Anesthesiology. n Press

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