Tracheal intubation is a medical procedure in which an endotracheal tube is placed into the windpipe (trachea), through the mouth. A laryngoscope is a device used to navigate the path for proper insertion of an endotracheal tube into the trachea while avoiding the esophagus. Viewing the patient’s trachea and in an emergency situation placing an endotracheal tube in the patients’ airway allows the medical professional to better control the patient’s oxygen supply. The inability to secure the airway is life-threatening with permanent brain damage beginning after only 4 minutes in hypoxic (oxygen starved) patients and death occurring within 10 minutes.1
Laryngoscopes are available in several styles including traditional direct (manual) and video guided. Manual styles such as the Macintosh or Miller blades are widely utilized but require extensive training, direct visualization of the airway and sterilization of the blade after each use. For ideal use of a manual device, the patient must be in supine (lying down) position and considerations such as cervical trauma, rheumatoid arthritis, etc. must be considered before positioning the head in a nose up position with the neck extended.
Video guided laryngoscopy has been proven to have numerous advantages over traditional direct laryngoscopy2 in peer-reviewed published studies. These advantages include:
- Higher frequency of successful intubations
- Higher frequency of first attempt intubation
- Superior laryngeal views
Other benefits many also exist when using video guided laryngoscopy and may include:
- Increased intubation speed
- Reduced oral cavity and airway trauma
- Less need for optimizing patient position
- Facilitates medical professional training
The superiority of video assisted laryngoscopy vs. direct laryngoscopy has been recognized by the American Society of Anesthesiologists (ASA) who recommend intubation using video-assisted laryngoscopy for difficult airways.2
Data from the 2010 National Hospital Discharge Summary indicates over 51 million procedures are performed every year in the US3 with a large number of these begin performed under a general anesthetic. Estimates indicate there were approximately 25 million intubations performed in the US in 20104 and over 50 million per year worldwide. The market opportunity for advanced airway management products is estimated between $20 to $30 billion per year.4 Airway management products are growing an estimated 10% per year.5
Velosal Medical will facilitate the widespread adoption of video laryngoscopes by introducing its video laryngoscope and eliminating existing constraints to allow video guided intubations to be performed in any setting where endotracheal intubation is required.
- American Society of Anesthesiologists: Practice guidelines for management of the difficult airway: An updated report. Anesthesiology 2003; 98:1269–1277. Update Anesthesiology, V 118 • No 2. February 2013.
- American Society of Anesthesiologists: Presentation by Chunyuan Qui, MD, CEO of Qscope, at Elsevier Business Intelligence’s IN3West Conference, February 2010.
- Video Tech Boosts Airway Management Market. Pharma and MedTech Business Intelligence. Article 2011400005. January 1, 2011.