The AIRTRAQ allows one to start with the head in the “neutral” position vs. the sniffing position or hyperextending the neck.
Typically the AIRTRAQ is placed in the valecula and above the epiglottis, like the Macintosh laryngoscope blade approach, however one can go below the epiglottis, like the Miller blade, if this gives a better exposure or view of the vocal cords.
The AIRTRAQ is ideal for these cases. To insert the AIRTRAQ one may have to start from the side and rotate the AIRTRAQ as it is inserted.
It has also been demonstrated in several clinical studies that Tracheal intubation with the Airtraq® resulted in less alterations in heart rate and arterial pressure when compared to Direct Laryngoscopy.
Studies have shown AIRTRAQ can facilitate awake intubations well. A camera makes the procedure much easier to perform (refs. 5, 6, 7, 8)
Yes – due to the unique design of AIRTRAQ a clinician can either view down the optical channel or use with an AIRTRAQ camera and display. Independent evidence also exists that shows AIRTRAQ is superior to both the GlideScope and LMA Fastrach during simulated face-to-face difficult tracheal intubation (ref. 11).
No: however this technique can sometimes assist in cases where the vocal cords present in a very anterior position.
There is a minimum mouth opening for each AIRTRAQ size. However, if an adult has an extremely limited mouth opening, it has been reported that a pediatric AIRTRAQ can introduce a bougie past the vocal cords and enable intubation.
Yes: AIRTRAQ enables the clinician to view the complete airway quickly and clearly. Evidence also exists which shows time to secure the airway is shorter with the Airtraq amongst novice laryngoscopists (ref. 9)
Yes. Studies show that in the presence of cricoid pressure, the mean duration of intubation is markedly shorter using AIRTRAQ than using Macintosh laryngoscopy. (ref. 10)
Prodol has received FDA 510(k) clearance for the AIRTRAQ Avant as MR Conditional (up to a Tesla 3 magnet).
Airtraq Avant´s minimum cost per use makes it feasible to perform video laryngoscopy for routine use, not just difficult airway cases.
Typical warm-up time is 30 seconds.. Switch on & wait until the light has stopped blinking before insertion.
However, for emergency cases, where patients are not spontaneously breathing, AIRTRAQ can be used without waiting.
Refer to the minimum mouth opening and size of ET tube required in the instructions for use:
AIRTRAQ SP Adult Regular is 16 mm thick & AVANT 17 mm thick compared to Macintosh at 17.5mm. The AIRTRAQ SP and AVANT Adult Regular models both weigh less than a standard ISO blade and handle by over 300 grams. With a WiFi camera attached to the AIRTRAQ models, they still weight less than a standard ISO blade by over 100 grams.
No: the AIRTRAQ SP and AIRTRAQ AVANT BLADE are single patient use devices.
**** Warning! Cleaning and reuse of the AIRTRAQ AVANT BLADE and/or AIRTRAQ SP may compromise patient safety ****
The AIRTRAQ AVANT optics are designed to be used 50 times and instructions for disinfection can be found in the Indications for Use
No: any make of ETT can be used. Note the outer diameters of some ET Tubes are different and may affect the fit in the guide channel.
50 intubations: a service life is counted when the OPTIC anti-fogging element has reached operating temperature.
THREE (3) years.
If the ET tube is not properly lubricated and it is repeatedly advanced past the distal end of the channel guide and then pulled back into the channel the cuff could tear. Withdrawal of the ETT while in the guide channel should be done carefully.
Remove the source of interference. Select another channel on both the display & the camera or connect the camera to the AWDR directly with the supplied cable.
The most common mistake is to insert the Airtraq “TOO DEEP” into the larynx or you have NOT GENTLY LIFTED the Airtraq
Inserting too deep provides a view of the vocal cords and arytenoids, with the “center” of the view being the arytenoids rather than the vocal cords. In this case the ET tube may “hit” the arytenoids and not go through the vocal cords. To correct, simply withdraw the AIRTRAQ and / or gently lift up, this should place the vocal cords in the “center” of the view and make ET tube insertion easy.
It is recommended that that the AIRTRAQ is not lifted too early to the vertical position when placing into the airway, but slid around the tongue first. A small amount of water soluble lubricant applied onto the blade of the AIRTRAQ may also assist insertion.
Usually in this example the vocal cords are not in the “center” of the view, but in the upper portion of the view. BACK OUT the Airtraq and LIFT it to change the view. One may have to rotate, clockwise or counter wise the AIRTAQ as well.
The AIRTRAQ is not generally affected by secretions; however, excessive blood or secretion might obscure the optics and view. In these cases you can use suction before insertion. One can also remove the Airtraq and rinse the distal tip in saline, then reinsert
Ensure the correct size of ET tube is being used and is well lubricated. When advancing the ET tube tilt the proximal end of the ET tube towards you and this will aid advancement. Note some ET Tube have larger outer diameters and may fit snuggly in the guide channel. In this case either change to a smaller ET tube or use the next larger size Airtraq.
Yes: it may be preferable to introduce the AIRTRAQ like a Guedel Airway with some patients (short neck, obese). This enables the AIRTRAQ to be rotated as it is advanced into position. The AIRTRAQ can also be introduced into the airway via the side of the mouth and then centralized as it is advanced.