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Table 3 Selected written comments of the EPs as examples to highlight the pros and cons of indirect videolaryngoscopy

From: Use of the GlideScope®-Ranger for pre-hospital intubations by anaesthesia trained emergency physicians – an observational study

Example

Fee-text comment

1

Secretion obstructed view despite repetitive suction attempts

2

Insertion of GS-blade size #3 → view obstructed due to secretion → DL → removal of secretion by direct suction → C&L III during DL → re-insertion of GS-blade size #3 → blade to small → insertion of GS-blade size #4 → C&L IIa → tracheal intubation

3

Secretion with the GS-R in place obscures view → Equipment: flexible suction catheter → small mouth opening in combination with GS-blade inserted in the oral cavity makes the insertion and proper placement of suction catheter impossible

4

Very comfortable to intubate with the patient on the floor during CPR during continuous external chest compression. No direct optical axis necessary.

5

Bright sunlight makes view on the monitor impossible

6

Car accident, EP placed behind the driver on the back seat. Driver with life-threatening airway (A) and breathing (B) problem. Paramedic holding the monitor of the GS-R, intubation performed by the EP while sitting behind the driver on the back seat. Difficult but possible, would not have been possible using DL.