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Special Edition: Anesthesia - July 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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The use of video laryngoscopes has increased significant- ly during the pan- demic among providers who are increasingly worried about their prox- imity to the patient's airway, according to Dr. Aziz. "The devices were gaining a stronger foothold because clinical evidence shows higher rates of first pass intubation success," he says. "Some providers had already been using them universally. Many who weren't are now discov- ering the benefits they provide." Video laryngoscopes, which provide direct views of the glottis to make intubation much easier, have evolved since first being intro- duced as a "game-changing" technology about a decade ago. The lat- est generation of devices are more ergonomic and portable, and fea- ture high-definition imaging that provides clearer views of airway anatomy. They also accommodate various laryngoscope blade designs. Dr. Aziz says providers often use standard blades for routine intubations and acute angle blades to secure anticipated difficult air- ways. Screen size matters most to Dr. Aziz. "Units with smaller, attached screens are priced competitively, but the visualization and magnifica- tion capabilities afforded by larger screens allow for improved intuba- tion performance," he says. Dr. Aziz also points out devices with larger, detachable screens let providers keep a healthy distance from the airway. "We're never cer- tain about who's shedding the coronavirus, even with testing in place," he says. "Video laryngoscopes with separate monitors that can be positioned next to the patient let providers stand upright while intu- bating instead of leaning directly over the airway to perform direct laryngoscopy or manipulate a video laryngoscope with an integrated J U L Y 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 2 3 We're never certain about who's shedding the virus, even with testing in place. — Michael Aziz, MD

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