A Historical Perspective on Use of the Laryngoscope as a Tool in Anesthesiology

  title={A Historical Perspective on Use of the Laryngoscope as a Tool in Anesthesiology},
  author={C. Burkle and Fernando A Zepeda and D. Bacon and S. Rose},
EACH year, one of the first skills anesthesia residents must master is direct visualization of the vocal cords to safely and successfully intubate the trachea of surgical patients. Debates have raged in teaching centers about the superiority of one laryngoscope over another or the merits of a straight versus a curved blade. However, this yearly debate is a phenomenon of the twentieth century, as anesthesiologists sought better tools to facilitate patient care. Physician interest in visualizing… Expand
[A look into the larynx--two centuries along the path of laryngoscopy].
Both the design and purpose of the laryngoscope have been changed significantly since Alfred Kirstein invented his own "laryngeal mirror"--the autoscope. An initially straight, rigid oesophageal tubeExpand
Comparison of the time to successful endotracheal intubation using the Macintosh laryngoscope or KingVision video laryngoscope in the emergency department: A prospective observational study
The KVVL is found to have a similar performance to the DL in terms of time for intubations and ease in difficult airways, and is considered a useful device for EDs to equip themselves with. Expand
Pioneers of Laryngoscopy: Indirect, Direct and Video Laryngoscopy
The aim of this paper is to give a historical overview of the development of both direct and indirect laryngoscopy. Expand
A Comparison of Video Laryngoscopy to Direct Laryngoscopy for the Emergency Intubation of Trauma Patients
Video laryngoscopy is increasingly used in many settings and the data suggest that, in select circumstances, VL is superior to DL for the intubation of trauma patients with difficult airways. Expand
A brief history of tracheostomy and tracheal intubation, from the Bronze Age to the Space Age
The colorful and checkered past of tracheostomy and tracheal intubation informs contemporary understanding of these procedures and owes its existence to the historical development of increasingly effective airway devices and to regular contributions of research into the pathophysiology of the upper airway. Expand
The Macintosh Laryngoscope: the Mechanism of Laryngeal Exposure and the Optimal Maneuver
The position of the hyoid bone should be considered to achieve epiglottic elevation and a good view of the glottides when performing laryngeal exposure, and increased understanding of the mechanism of laryngoscope exposure enables development of improved intubation devices and training models. Expand
Feasibility of upright patient positioning and intubation success rates At two academic EDs
In this study emergency medicine residents had a high rate of success intubating in the upright position, which correlates with recent literature challenging the traditional supine approach to intubation and indicates that further investigation into optimal positioning during emergency department intubations is warranted. Expand
Videolaryngoscopy for intubation
Recent advances in fiberoptic systems and video technology have resulted in the development of new intubation devices and techniques such as videolaryngoscopes. Videolaryngoscopes have adopted aExpand
Comparison of Glottis View and Hemodynamic Response by using Macintosh and MacCoy Laryngoscopes for Endotracheal Intubation in General Anaesthesia for Elective Surgery
Introduction: The aim of laryngoscopy is to obtain good visualization of the vocal cords to facilitate smooth endotracheal intubation. To reduce hemodynamic response to Intubation, laryngoscopeExpand
Acute airway management.
A review of current medical and surgical approaches to managing the acute airway, including the risks, benefits and appropriateness of each approach with respect to patient stability, available equipment, clinician training and patient outcomes is presented. Expand


Endotracheal Intubation: A New Blade For Direct Laryngoscopy
IRECT laryngoscopy is one of many aids D and approaches to endotracheal intubation and was described in 1858 by John Snow,’ who placed a tube through a tracheotomy to anesthetize rabbits. Expand
Laryngoscopy and Laryngoscopes‐Who's First?: The Forefathers/Four Fathers of Laryngology
In today’s world, being first to devise an important concept, to recommend an advance in diagnostic techniques, or to propose significant new forms of treatment is not a given. Expand
Chevalier Jackson's contributions to direct laryngoscopy.
  • S. Zeitels
  • Medicine
  • Journal of voice : official journal of the Voice Foundation
  • 1998
Chevalier Jackson championed rigid endoscopy of the upper aerodigestive tract and facilitated its development and popularity at the beginning of the 20th century, while developing a unique mastery of the technique. Expand
  • I. Lewis
  • Medicine
  • British medical journal
  • 1937
sary equipment. Apart from adding to his capacity as an anaesthetist it places in his hands a method of artificial respiration that is second to none. Before undertaking this technique proficiency inExpand
Principles of thoracic anesthesia.
The authors review fundamentals of respiratory physiology as they relate to surgery and use these principles as a basis to discuss the preanesthetic, anesthetic, and postoperative management ofExpand
Alfred Kirstein
Autoscopy is, therefore, a difficult morsel; until it is thoroughly absorbed into the life-blood of laryngology it will cause many a digestive disturbance.
RE: The story of the laryngoscope
  • Ear Nose Throat J
  • 1989
The story of the laryngoscope.
Pioneer of direct laryngoscopy
  • Anaesthesia
  • 1986