Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Version 1 : Received: 23 February 2024 / Approved: 23 February 2024 / Online: 23 February 2024 (12:21:51 CET)

A peer-reviewed article of this Preprint also exists.

Luk, H.-N.; Qu, J.Z. Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation. Surgeries 2024, 5, 135-161. Luk, H.-N.; Qu, J.Z. Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation. Surgeries 2024, 5, 135-161.

Abstract

Abstract: Laryngoscopy for tracheal intubation has been developed for many decades. Among various conventional laryngoscopes, videolaryngoscopes (VL) have been applied in different patient populations, including difficult airways. The safety and effectiveness of VL have been repeatedly studied in both normal and difficult airways. The superiority of VL then has been observed and is advocated as the standard of care. In contrast to laryngoscopy, the development of video-assisted intubating stylet (VS, also named as styletubation) has been noticed two dec-ades ago. Since then, sporadic clinical experiences of use have appeared in literature. In this re-view article, we presented our vast use experiences of the styletubation (more than 55,000 pa-tients since 2016). We found this technique is swift (the time to intubate: from 3 s to 10 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satis-faction and fast learning curve for the novice trainees) in both normal and difficult airway sce-narios. We therefore propose styletubation technique can be feasibly applied as universal rou-tine use for tracheal intubation.

Keywords

Styletubation; video-assisted intubating stylet; tracheal intubation; laryngoscope; videolaryn-goscope; anesthesia; difficult airway; airway management; paradigm shift; new paradigm

Subject

Medicine and Pharmacology, Surgery

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