Related Experiment Video
Updated: Mar 11, 2026
07:45
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
1.2K
Videolaryngoscopy With Noninvasive Ventilation in Subjects With Upper-Airway Obstruction
Javier Sayas Catalán1, Ignacio Jiménez Huerta2, Pedro Benavides Mañas3
1Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, Spain. jsayascat@gmail.com.
Respiratory Care
|November 24, 2016
Summary
Videolaryngoscopy during noninvasive ventilation (NIV) effectively identifies airway obstructions in difficult-to-titrate patients. This technique guides interventions, improving ventilation quality and patient outcomes.
Area of Science:
- Respiratory Medicine
- Sleep Medicine
- Critical Care
Background:
- Noninvasive ventilation (NIV) titration can be challenging with persistent dynamic airway obstruction.
- High expiratory positive airway pressure (EPAP) may not resolve all obstructions.
Purpose of the Study:
- To evaluate the utility of videolaryngoscopy during NIV for identifying and resolving airway obstructions.
- To assess its role in managing patients with difficult-to-titrate NIV.
Main Methods:
- Videolaryngoscopy was performed in awake patients experiencing persistent obstructions during NIV despite elevated EPAP.
- Obstructions were analyzed for mechanism and site using nasal and oronasal masks.
Main Results:
- In 13 difficult-to-titrate patients, videolaryngoscopy identified obstruction causes (velum, epiglottis, tongue-base).
- Improvements were seen in 69% of patients after mask adjustments.
- Surgical intervention was suggested for 15% of patients, with one successful uvulopalatopharyngoplasty.
Conclusions:
- Videolaryngoscopy is valuable for identifying airway obstruction sites and mechanisms in NIV patients.
- This method can guide interventions and improve ventilation quality in challenging cases.
More Related Videos
Related Concept Videos
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
723
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
723
01:23Mechanical Ventilation III: Noninvasive Ventilation
715
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
715
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
874
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
874
01:23Mechanical Ventilation II: Invasive Ventilation
918
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
918
01:25Suctioning the Oropharyngeal Airway
1.2K
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
1.2K
01:29Suctioning the Nasopharyngeal Airway
4.5K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
4.5K