Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
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stylets include the Clarus Shikani and Levitan, and the Storz Bonfils. These scopes have a video eyepiece, but no built-in video monitor. The Clarus Vscope is similar to the other stylets, but has a built-in 1- inch monitor. Video stylets typically cost slightly less than video laryn- goscopes. You must clean and sterilize these scopes between uses. • Video-assisted laryngoscopes. The technology of video-assisted laryn- goscopes has come a long way from early video scopes such as the Bullard and Upsher scopes. The newer devices have become more compact, user-friendly and cost-effective ($300 to $400). Many are self-contained with built-in video monitors. The new video laryngo- scopes provide excellent laryngeal exposure in patients whom multi- ple experienced anesthesia providers have repeatedly found to be dif- ficult or impossible to intubate using direct laryngoscopy. Video laryn- goscopes are mandatory additions to all of our difficult airway carts and have a big place in the difficult airway algorithm. Their biggest advantage is in the lack of cross-contamination, because video laryn- goscopes have disposable blades. • Video laryngoscopes. These are the most advanced pieces of difficult airway equipment. Video laryngoscopes tend to be more complex than the stylets and therefore more expensive (about $18,000). The advantages of these scopes include built-in cameras and optical view- ing systems. They require fewer specialized skills than first-generation technology and disposable blade covers decrease the chances of cross-contamination. Most of these scopes have short learning curves — they resemble and are used like the MacIntosh laryngoscope blades. These scopes come in 2 types, those with built-in video moni- tors and those with external monitors. Those with external monitors are slightly less portable but have a larger viewing area. These scopes include Verathon's Glidescope and the Storz C-MAC. The more portable scopes have small built-in video monitors and can be carried in your jacket pocket. Portable video laryngoscopes include the C- MAC Pocket Monitor, Covidien's McGrath, Pentax's Airway Scope and 4 7 A P R I L 2 0 1 5 | O U T P A T I E N T S U R G E R Y . N E T