NextGen Learning To Elevate Your Airway Practice
Rebirth of Direct Laryngoscopy
Devices with Integrated Tube Introducer Use
Imagine a low-cost, rapidly deployed intubation device that provides enhanced direct views of the airway and seamlessly integrates with a bougie to facilitate smoother, more efficient intubations. Meet the VieScope, a novel tool in airway management designed to improve visualization and success rates, even in challenging scenarios.
In an era dominated by video laryngoscopy, the emergence of a device that seamlessly integrates the bougie to enhance and modernize direct laryngoscopy is a groundbreaking advancement. It not only reaffirms the enduring value of direct visualization but also underscores the bougie’s evolving and valuable role as a reliable and effective tool for tracheal access in airway management.
The VieScope
The Vie (French: Life) Scope is an ingenious reinventing of a surgical ENT device that integrates a bougie into its design. It is a self-contained, battery-powered, disposable scope that visualizes the vocal cords using a closed circular tube with a beveled end. Light is transmitted through the side wall of the tube from end to end and within the lumen of the tube to give users the best illumination of the target tissue with minimal chance of obstruction by secretions or blood.
🔑 Key Benefits of the VieScope:
- Enhanced Visualization: The VieScope provides a superior view of the larynx, offering an improved Percentage of Glottis Opening (POGO) score compared to traditional Macintosh laryngoscopes. This means clinicians can see more of the vocal cords, facilitating easier tube placement. PMC
- Integrated Bougie Use: Designed for use with a bougie, the VieScope allows for precise navigation through the vocal cords into the trachea under direct vision. This two-step approach—placing the bougie first, then advancing the endotracheal tube over it—can increase first-attempt success rates, especially in difficult airway situations. PMC.
- Simplicity and Portability: The VieScope’s straightforward design makes it easy to use, and its compact form factor ensures it fits well in paramedic bags, pockets, and other compact spaces, making it ideal for emergency medical services.
The Technique: Rapid Review
Watch this video for a quick overview or refresher on the key steps of intubation with a Viescope.
Using the VieScope with a Bougie:
- Insertion: Hold the Vie Scope® in your preferred hand and insert it into the patient’s mouth.
- Advancement: Advance the Vie Scope® directly towards the vocal cords, positioning it below the epiglottis.
- Bougie Placement: Under direct visualization, insert a bougie through the Vie Scope® and pass it between the vocal cords to the appropriate depth.
- Scope Removal: Carefully remove the Vie Scope® while keeping the bougie in place within the patient’s trachea.
- Endotracheal Tube Insertion: Slide an endotracheal tube over the bougie into the trachea, advancing it to the appropriate depth as per your standard protocol.
- Final Steps: Remove the bougie, ventilate the patient, and confirm proper ventilation.
The Technique: Full Video
Review this detailed, step-by-step training video on the use of the Vie Scope.
Microskills
1. how to turn it on & open
3. Bougie Insertion
2. Blade insertion
4. Blade insertion
Troubleshooting Tips
Things don’t always go as planned, but once you recognize you have an issue, what do you do about it? Let us walk you through some essential troubleshooting skills for the Viescope.
The Bottom Line
Revitalizing Direct Laryngoscopy
The VieScope reintroduces a modernized approach to direct laryngoscopy. Its straight, transparent, and illuminated design provides a direct line of sight to the larynx, enhancing visualization without needing video assistance.
This design allows clinicians to perform intubations with a technique similar to traditional direct laryngoscopy but with improved illumination and visibility, potentially increasing first-pass success rates.
In summary, the VieScope offers a cost-effective and efficient alternative to video laryngoscopes, bringing back an enhanced version of direct laryngoscopy that combines simplicity with improved visualization.
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