Severely enlarged left thyroid lobe Airtraq and FOB after failed intubation
Awake morbidly obese with difficult airway
Awake in an immobile neck
Severe ankylosing spondylitis
Giant Lipoma at the Nape
Awake Plexiform neurofibroma of face
Severe macrosomia. After failed awake nasotracheal FOB
Spinal surgery reintubation in prone position
7-year-old child with severe cervical burned sequels
3 month old child with occipital meningocele
Child with Goldenhar syndrome, previously failed intubation
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Minimum cost per intubation. Video laryngoscopy for Routine Intubations.
Disposable Blades + Reusable Optics
Open and Intubate. Video laryngoscopy for remote locations and emergencies.
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Download 'Airtraq Cam' app to your PC to connect Airtraq Wi-Fi Camera.
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Connect A-390 to PC through USB. Open ‘Airtraq Cam’ app for PC.
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Summary of Clinical Studies, Case Reports, Letters and Manikin Studies. Includes Cross Reference Table.
Publications by Topic: Clinical Communications Summary
Minimum cost per intubation.
Disposable Blades + Reusable Optics
Low Cost disposable Blade: 2 sizes for Adults
Zero maintenance costs.
Can be used in MRI.
Open and Intubate.
1. Slide midline around the tongue
2. Center vocal cords
3. Push ETT
4. Remove midline
If vocal cords are not seen it is very likely that Airtraq has been inserted TOO DEEP, if so perform the following maneuver:
A gent lift of the Airtraq causes the glottis to open and drops the interarytenoid notch below the middle of the image (optimal position for successful ETT insertion)
Airtraq elevation too early, before tip of the blade gets to back of tongue
Airtraq inserted like a direct laryngoscope blade (to the left of the oropharyngeal cavity)
Airtraq inserted too close to the glottis or too posterior in front of the oesophagus
Airtraq tilted against upper teeth
Welcome to Airtraq Training Portal - Choose your language
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Bienvenue sur le portail de formation Airtraq - Choisissez votre langage
Bienvenido al portal de formación de Airtraq - Elija su idioma
Benvenuti nel Portale della Formazione Airtraq - Scegli la tua lingua
British Journal of Anaesthesia 2011. Y.Lu H. Jiang & Y.S. Zhu, Shanghai Jiao Tong University, China
Yung-Cheng Su, European Journal of Aanaesthesiology · Sept 2011
British Journal of Anaesthesia S. K. Ndoko et Al. Jean Verdier Public University Hospital of Paris.
One hundred and six consecutive ASA I–III morbidly obese patients undergoing surgery were randomized to intubation with the Macintosh laryngoscope or the Airtraq.
In the Airtraq group, tracheal intubation was successfully carried out in all patients within 120 s. In the Macintosh laryngoscope group, six patients required intubation with the Airtraq laryngoscope.
The mean (SD) time taken for tracheal intubation was 24 (16) and 56 (23) s, respectively, with the Airtraq and Macintosh laryngoscopes, (P,0.001). SpO2 was better maintained in the Airtraq group than in the Macintosh laryngoscope group with one and nine patients, respectively, demonstrating drops of SpO2 to 92% or less (P,0.05).
Conclusions. In this study, the Airtraq laryngoscope shortened the duration of tracheal intubation and prevented reductions in arterial oxygen saturation in morbidly obese patients.
European Journal of Anaesthesiology, T. Gaszynski. Medical University of Lodz, Poland
The objective of this study was to measure the pressure created by different intubation devices on the tongue during endotracheal intubation attempts in the mannequin model . Fourteen specialists and 20 anesthesiologists in training.
Pressure created on the tongue was highest when the Macintosh blade was used and was more than five times higher than with AirTraq and Pentax AWS (P<0.05). When comparing the Pentax AWS and AirTraq, there was no statistical difference (P>0.05).
T. Russell, University of Toronto, Toronto, Canada
Airtraq aprox. = 20 % of McIntosh
Glidescope aprox. = 50% of McIntosh
British Journal of Anaesthesia , R. Amathieu, Paris.
Thirty senior emergency medicine physicians were trained in the use of the LMA Fastrach, GlideScope, and Airtraq laryngoscope with a standard airway trainer manikin (control).
Participants were then asked to perform tracheal intubation in two difficult situations simulated on a difficult airway management manikin wearing a cervical collar. In Situation 1, the manikin was in the supine position with a difficult airway caused by stiffening the cervical spine. In Situation 2, the manikin was positioned to simulate face-to-face tracheal intubation. We measured intubation times, success rates for tracheal intubation, and the difficulty of tracheal intubation.
Conclusions. The Airtraq was superior to both the GlideScope and LMA Fastrach during simulated face-to-face difficult tracheal intubation.
Emerg Med J, Patrick Schober, VU University Medical Center Amsterdam, Holland
Background Airway management in entrapped casualties with restricted access to the head is challenging. If tracheal intubation is required and conventional laryngoscopy is not possible, intubation must be attempted in a face-to-face approach
Methods 24 anaesthesiologists direct laryngoscopy (Macintosh blade #3), Airtraq and McGrath).
The manikin was sitting with the neck immobilised and only accessible from the left anterolateral side.
All three techniques have a high success rate, but the usefulness of the McGrath is limited due to longer intubation duration. Inverse direct laryngoscopy showed reasonable intubation times.
Intubation was always successful and tended to be fastest with the Airtraq device, suggesting that this technique may be a promising alternative
Airtraq Face to Face Intubation
Airtraq Face to Face Intubation
Airtraq Face to Face Intubation
Ann Fr Anesth Reanim. Sudrial et Al.
Prospectively compared simulated-difficult tracheal intubation characteristics of four glottiscopes: Airtraq, GlideScope, McGrath, LMA CTrach with that of the conventional Macintosh laryngoscope.
Forty-two physicians, naïve to glottiscope More than 1600 supervised tracheal intubations were performed
Compared to the Macintosh laryngoscope, GlideScope, McGrath, tracheal intubation duration was shorter (p<0.05) with the Airtraq and longer (p<0.01) with the LMA CTrach.
Airtraq and Macintosh laryngoscope were respectively the simplest (p<0.01) and the most difficult (p<0.01) airway devices to manage a simulated difficult tracheal intubation.
Airtraq and the LMA CTrach both demonstrated remarkable advantage over GlideScope and McGrath for simulated difficult intubation management.
Anaesthesia, Savoldelli et Al. University of Geneva
Sixty anaesthesia providers (20 staff, 20 residents, and 20 nurses) were enrolled into this study. The volunteers intubated the trachea of a Laerdal SimMan manikin in three simulated difficult airway scenarios.
In all scenarios, indirect laryngoscopes provided better laryngeal exposure than the Macintosh blade and appeared to produce less dental trauma.
In the most difficult scenario (tongue oedema), the Macintosh blade was associated with a high rate of failure and prolonged intubation times whereas indirect laryngoscopes improved intubation time and rarely failed. Indirect laryngoscopes were judged easier to use than the Macintosh.
The Airtraq consistently provided the most rapid intubation. Laryngeal grade views were superior with the Airtraq and McGrath than with the Glidescope.
J Anesthesia, M. Baciarello, University of Parma, Italy
Purpose. This prospective study was designed to compare learning curves for laryngoscopy with the Airtraq or Macintosh laryngoscopes in patients under general anesthesia.
Methods. Ten medical students with no prior experience in airway management were recruited. Each student performed laryngoscopy with either device on ten consecutive patients.
Conclusion: Students achieved higher success rates using the Airtraq laryngoscope during early training on live patients.
BMC Medical Education, Hong Zhao, Peking University People’s Hospital, Beijing, China
Method: Twenty-six medical students in the 6th year participated in this trial. Each of the students intubated 3 patients with each laryngoscope respectively. Macintosh (n = 75) or Airtraq (n =74).
CONCLUSION: Airtraq laryngoscope is easier to master for novice personnel with a higher intubation success rate and shorter intubation duration compared with the Macintosh laryngoscope.
British Journal of Anaesthesia, 2015, 1–10, L. Suppan1Geneva University Hospitals,
Results: Twenty-four trials (1866 patients) met inclusion criteria.
Meta analyses could be performed for Airtraq, Airwayscope, C-Mac, Glidescope, and McGrath.
The Airtraq was associated with a statistically significant:
Other devices were associated with improved glottis visualization but no statistically significant differences in intubation failure or time to intubation compared with conventional laryngoscopy.
Conclusions: In situations where the spine is immobilized, the Airtraq device reduces the risk of intubation failure. There is a lack of evidence for the usefulness of other intubation devices.
BMC Research Notes , Schälte, University Hospital Aachen, Germany
123 consecutive ASA III patients undergoing elective coronary artery bypass grafting were routinely intubated with the Airtraq.
In conclusion our results demonstrate that routine tracheal intubation with Airtraq is feasible, fast and save in high-risk cardiac patients. The use of the Airtraq allowed maintaining a stable hemodynamic situation.
Anaesthesia,. Maharaj . Univ. Of Ireland, Galway
Aleksandra G. Brzanov, Sabah Al Ahmed Cardiac Center, Kuwait
Sixty patients who underwent elective coronary artery bypass graft surgery.
Results demonstrate that routine endotracheal intubation using Airtraq in patients undergoing routine CABG surgery can reduce hemodynamically changes and allow maintaining a stable hemodynamic situation, compared to the Macintosh laryngoscope.
Critical Care S Tomasino, Alto Friuli, Tolmezzo, Udine, Italy
In this randomised, controlled, clinical trial authors enrolled 30 patients at increased risk for difficult tracheal intubation, undergoing surgical operations requiring tracheal intubation.
All patients, maintained in spontaneous breathing all through the procedure, received awake intubation performed by one of three anesthetists expert in difficult airway management. All patients received a topical airway anesthesia with 2% lidocaine and total intravenous anesthesia (TIVA) performed with propofol c.i. with an effecter site concentration of 1.5 μg/ml.
All patients were successfully intubated in both groups. In Airtraq group the authors assessed a short time and a small amount of attempts of intubation with a statistically significant difference between the two groups. No difference was noted between the two groups in hemodynamic setting, saturation, Ramsey score and airway-trauma-related side effects.
Conclusions: Our experience demonstrated that the Airtraq could be used during awake sedations and may be a promising alternative device for difficult airway management as a valid alternative to the traditional fiberoptic bronchoscope.
Canadian Anesthesiologists Soc , F.S. Xue, , Chinese Academy of Medical Sciences
The authors describe our initial experience with a method of airway topical anesthesia for awake tracheal intubation in adult patients with difficult airways using a combination of an Airtraq laryngoscope and a MADgic laryngotracheal atomizer.
Once the distal end of the Airtraq laryngoscope was positioned in the vallecula with the glottis in the center of the viewfinder, the curved applicator portion of a MAD-LTA was advanced through the lateral channel of the Airtraq. By adjusting the distant position of the applicator portion under direct vision on the viewfinder, its tip was placed immediately superior to the glottis and the bilateral pyriform recess. Then, 3 mL of 2% lidocaine was sprayed in three aliquots onto these targeted areas with the MAD-LTA.
Several advantages appear to exist with this technique: the applicator portion of the MAD-LTA can well be adapted to the curved blade of the Airtraq / the MAD-LTA can be directed easily towards the different targeted airway structures / this approach can provide excellent airway topical anesthesia for awake orotracheal intubation / this technique is well tolerated by the awake, sedated patient / this technique is easy to perform.
Therefore, the authors believe this technique can provide a favourable alternative to a fiberoptic technique for the management of difficult airways.
BMC Anesthesiology, Martin K Soerensen, University Hospital, Rigshospitalet, Denmark
The aim of the study was to compare the Storz videolaryngoscope to the Airtraq Optical laryngoscope for tracheal intubation in children younger than two years of age who had a normal airway assessment. Our hypothesis was that the Storz would have a better success rate than Airtraq.
Ten children aged 2 years or younger scheduled for elective cleft lip/palate surgery were included. The anesthesia was standardized and a Cormack-Lehane (CL)-score was obtained using a Macintosh laryngoscope. After randomization CL-score and endotracheal tube positioning in front of the glottis was performed with one device, followed by the same procedure and intubation with the other device. The video-feed was recorded along with real-time audio. The primary endpoint was the success rate, defined as intubation in first attempt. Secondary endpoints were the time from start of laryngoscopy to CL-score, tube positioning in front of the glottis, and intubation.
No difference in the success rate of endotracheal intubation could be established in this ten patient sample of children younger than two years with a normal airway assessment scheduled for elective cleft lip/palate surgery. However, the Airtraq showed a number of time related advantages over the Storz videolaryngoscope.
Minerva Anestesiology , Dr Qazi Ehsan Ali, Nehru Medical College India
Method: Patients were allocated into two groups of 17 patients each using the paediatric Airtraq in one and a conventional laryngoscope in the other. The primary outcome measure was time needed for successful intubation whereas secondary outcome measures were number of attempts to intubate, POGO (percentage of glottis opening) scoring and complications like airway trauma and oesophageal intubation.
Results: It took significantly shorter time to intubate in Airtraq intubation group of patients as compared to Conventional intubation group of patients (P <0.05). Similarly the POGO scoring was significantly better in Airtraq intubation compared to Conventional intubation (P <0.001). Number of attempts to intubate and complications like airway trauma and oesophageal intubation using Airtraq was less frequent compared to conventional laryngoscopy but the difference was statistically insignificant.
CONCLUSION: Paediatric Airtraq provides better intubating conditions in children compared to conventional laryngoscope with less frequent complications.
Anaesthesia, St. Kliniken Essen-Mitte, Essen, Germany
The authors prospectively compared tracheal intubation efficiency of the Airtraq for nasotracheal intubation vs that of the Macintosh in 200 patients.
All easy intubations were succesfully performed with the respective technique.
In the expected difficult intubation group, the success rate was higher, the glottis view was better, mean (SD) intubation time was shorter and the number of optimising manoeuvres was reduced with the nasotracheal Airtraq compared with the Macintosh, respectively.
For difficult nasal intubations, the nasotracheal Airtraq is more effective than the Macintosh laryngoscope
ASA 2009 Abstract Harald V. Genzwuerker,, Neckar-Odenwald-Kliniken , Buchen and Mosbach, Germany
Laryngoscopic view was obtained with a Macintosh blade by an anesthesia resident with 2 years of training in 50 adult patients before intubation was attempted with the Airtraq by the same operator. Cormack and Lehane score was used to compare glottic view.
Conclusion: In ENT patients presenting for microlaryngoscopical surgery, laryngoscopic view is improved with the Airtraq® when compared to conventional laryngoscopy with a Macintosh blade.
Better view may lead to less trauma and swelling at the glottic inlet caused by intubation, facilitating planned procedures.
BMC Anesthesiology (2015), DOI 10.1186/s12871-015-0037-5
Seventy ASA physical status I and II patients with predicted normal airway were scheduled for thoracic surgeries with double-lumen tube intubation. They were randomly assigned to one of two groups and intubated with either the Airtraq laryngoscope (group A, n = 35) or the GlideScope (group G, n = 35).
The mean arterial pressure and heart rate rose to higher levels during intubation with the GlideScope than with the Airtraq laryngoscope. The success of the first intubation attempt and the intubation difficulty scales were comparable between the two groups. The numbers of patients who experienced postoperative sore throat were similar (6 vs. 8) in the two groups.
Conclusions: Compared with the GlideScope, the specially designed Airtraq laryngoscope might be more suitable for double-lumen tube intubations in patients with predicted normal airway.
Journal of Cardiothoracic Anesthesia, 2017
Participants: The study comprised 133 patients undergoing elective thoracic surgery Interventions. Patients were randomly allocated into the following 4 groups of DLTs: Macintosh (n 32), GlideScope (n 34), Airtraq (n 35),or King VL (n 32).
Conclusions: Use of the Airtraq for endobronchial intubation was of clinical importance because it was associated with - a signiﬁcantly shorter time to endobronchial intubation (–63.5%) - a lower intubation difﬁculty score (–54.2%) - and required fewer frequent optimizing maneuvers (–45.3%) than that of the GlideScope.
In addition, when compared with the GlideScope and KVL laryngoscopes, the Airtraq required less time to conﬁrmation of endobronchial intubation (40.4% and 26.9%, respectively). In addition, in the present study, there was no cuff rupture in the Airtraq group.
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