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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...
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Related Experiment Video

Updated: Dec 23, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Flexible Laryngoscopy and COVID-19.

Anaïs Rameau1, VyVy N Young2, Milan R Amin3

  • 1Department of Otolaryngology-Head and Neck Surgery, Sean Parker Institute for the Voice, Weill Cornell Medical College, New York, New York, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 22, 2020
PubMed
Summary

Flexible laryngoscopy guidelines were developed during the COVID-19 pandemic to mitigate risks. These recommendations cover patient selection, personal protective equipment, and endoscope disinfection for otolaryngology procedures.

Keywords:
COVID-19laryngoscopyotolaryngology

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Area of Science:

  • Otolaryngology
  • Infectious Disease Control

Background:

  • Flexible laryngoscopy is a standard otolaryngology procedure for evaluating the larynx and pharynx.
  • The coronavirus disease 2019 (COVID-19) pandemic introduced significant risks for patients and healthcare workers during flexible laryngoscopy.
  • Occupational hazards include patient-to-provider transmission and endoscope reprocessing contamination.

Purpose of the Study:

  • To establish evidence-based recommendations for performing flexible laryngoscopy safely during the COVID-19 pandemic.
  • To provide guidance on patient selection, personal protective equipment (PPE), and endoscope disinfection protocols.

Main Methods:

  • Consensus recommendations developed during a virtual webinar on March 24, 2020.
  • Webinar attended by approximately 300 participants from the American laryngology community.
  • Recommendations based on expert consensus regarding pandemic-specific safety measures.

Main Results:

  • A set of recommendations for flexible laryngoscopy performance during the COVID-19 pandemic was established.
  • Key areas addressed include careful patient selection to minimize exposure.
  • Guidelines provided for appropriate personal protective equipment (PPE) and stringent endoscope disinfection procedures.

Conclusions:

  • Implementing these recommendations is crucial for maintaining patient safety and protecting healthcare professionals during flexible laryngoscopy.
  • These guidelines aim to reduce the risk of viral transmission associated with the procedure.
  • The consensus provides a framework for safe otolaryngology practice in the context of a respiratory pandemic.