The Airtraq® as a rescue airway device following failed direct laryngoscopy: a case series

  title={The Airtraq{\textregistered} as a rescue airway device following failed direct laryngoscopy: a case series},
  author={Chrisen H. Maharaj and Joseph F. Costello and J. G. Mcdonnell and Brian H. Harte and John G. Laffey},
We report the successful use of the Airtraq® as a rescue device following failed direct laryngoscopy, in patients deemed at increased risk for difficult tracheal intubation. In a series of seven patients, repeated attempts at direct laryngoscopy with the Macintosh blade, and the use of manoeuvres to aid intubation, such as the gum elastic bougie placement, were unsuccessful. In contrast, with the Airtraq® device, each patient's trachea was successfully intubated on the first attempt. This… 

Awake tracheal intubation using the Airtraq® laryngoscope: a case series

It is considered that the AL can be used effectively to accomplish an awake intubation in patients with a suspected or known difficult airway and may be a useful alternative where other methods for awakeintubation have failed or are not available.

The Channelled Airtraq® as a Rescue Device Following Failed Expected Difficult Intubation with an Angulated Video Laryngoscope.

  • Z. Arslan
  • Medicine
    Turkish journal of anaesthesiology and reanimation
  • 2018
Two expected difficult intubation cases that failed with an angulated-type video laryngoscope (C-MAC D-blade) were rescued with a channelled-type Airtraq® device and were able to intubate the tracheas at the first attempt.

Difficult laryngoscopy improved with a Miller blade

The authors comment that ‘almost all the oropharyngeal injuries were related to difficult pharyngeAL insertion of the Airtraq laryngoscope using the standard insertion technique’, which has been favourably evaluated in a number of patient studies.

The Airtraq® laryngoscope for placement of double-lumen endobronchial tube

The successful placement of double-lumen endobronchial tube placement with the aid of the Airtraq laryngoscope in surgical patients is reported.


A case of uncommon giant lipoma in the posterior aspect of the neck, intubated successfully in the semi-lateral position with the use of Airtraq, a new single use device that permits an indirect view of the glottis without the need to achieve a direct line of sight by conventional use of the 'sniffing position'.

More maneuvers to facilitate endotracheal intubation using the Airtraq® laryngoscope in children with difficult airways

The AOL provides a high-grade, indirect, close proximity view of the glottis without the need for alignment of the oral, pharyngeal, and laryngeAL axes and seems suitable for difficult airways in small children.

Evaluation of the Airtraq® and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation*

The Airtraq®, a novel single use indirect laryngoscope, has demonstrated promise in the normal and simulated difficult airway and reduced the duration of intubation attempts and the need for additional manoeuvres in patients at increased risk for difficult tracheal intubations in a randomised, controlled clinical trial.

The Management of Difficult Direct Laryngoscopy and Intubation in a Field Hospital: An Alternative to Fibreoptic Endoscopy

  • J. Tong
  • Medicine
    Journal of the Royal Army Medical Corps
  • 2007
The Airtraq optical laryngoscope is a versatile, inexpensive, single-use option, which could readily fill this void and reinforce existing difficult airway equipment and simplify the management of ‘can ventilate - can’t intubate’ patients.



Retention of tracheal intubation skills by novice personnel: a comparison of the Airtraq® and Macintosh laryngoscopes *

The Airtraq® continued to provide better intubating conditions, resulting in greater success of intubation, with fewer optimisation manoeuvres required, and reduced potential for dental trauma, particularly in the difficult laryngoscopy scenarios.

Evaluation of intubation using the Airtraq® or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy – a manikin study *

In the simulated difficult laryngoscopy scenarios, the Airtraq® was more successful in achieving tracheal intubation, required less time to intubate successfully, caused less dental trauma, and was considered by the anaesthetists to be easier to use.

Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq® and Macintosh laryngoscope

The Airtraq appears to be a superior device for novice personnel to acquire the skills of tracheal intubation, particularly in the difficult laryngoscopy scenarios.

Emergency Tracheal Intubation: Complications Associated with Repeated Laryngoscopic Attempts

  • T. Mort
  • Medicine
    Anesthesia and analgesia
  • 2004
Data support the recommendation of the ASA Task Force on the Management of the Difficult Airway to limit laryngoscopic attempts to three in lieu of the considerable patient injury that may occur and confirm the number of larygoscopic attempts is associated with the incidence of airway and hemodynamic adverse events.

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Problems with tracheal intubation are infrequent but are the most common cause of anaesthetic death or brain damage. The clinical situation is not always managed well. The Difficult Airway Society

A response to ‘Difficult Airway Society guidelines for management of the unanticipated difficult intubation’, Henderson JJ, Popat MT, Latto IP and Pearce AC, Anaesthesia 2004; 59: 675–94

It is shown that during surgical procedures identical to those described here, S100b levels increases are consistent with early damage to the cerebral vasculature, and was evident only when non-specific binding to non-S100b protein was taken into account and subtracted from the readout.

Management of the difficult airway: a closed claims analysis.

Death/BD in claims from difficult airway management associated with induction of anesthesia but not other phases of anesthesia decreased in 1993-1999 compared with 1985-1992.