Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

Management of the upper airway and endotracheal intubation are provided by a variety of specialists including anesthesiologists, otorhinolaryngologists, emergency physicians, and pulmonary physicians. Fibreoptic and video technologies are widely used for airway management. Optical stylets, which incorporate flexible fibreoptic imaging elements in an intubation stylet, are gradually becoming the preferred intubation tools for a growing number of specialists. The ideal optical stylet should provide illumination and an image of high clarity, familiar handling with malleability and additional tip flexion, and low cost so that it becomes available to the larger community of airway providers.

The Shikani Optical stylet (SOS) was introduced in 1999 as a novel intubating stylet which has a lens at the distal end, a fiberoptic cable inside and is connected to a camera and a video monitor, hence allowing continuous visualization of the airway during introduction of the tube into the glottis [Shikani AH. New "seeing" stylet-scope and method for the management of the difficult airway. Otolaryngol Head Neck Surg. 1999 Jan;120(1):113-6. doi: 10.1016/S0194-5998(99)70380-3.]. The SOS allowed the introduction of the Shikani technique for intubation (Styletubation), which allows endotracheal intubation without the need of the rigid laryngoscope blade to retract the base of the tongue, hence minimizing the risk of trauma to the glottis or dentition. The SOS and Shikani technique for intubation (Styletubation) have been used in millions of patients worldwide (mainly in Asia), published in more than 100 articles and cited in many more.

This book is a review of our clinical experience with optical stylets, with the Shikani Optical stylet and the Shikani technique for intubation (Styletubation). In this monograph (volume 1), we collected several published articles covering several topic as follows.

 Chapter 1─Chapter 5: The history and development of styletubation

 Chapter 6─Chapter 8: The technical pearls and tips of styletubation

 Chapter 9─Chapter 14: The role of styletubation in various difficult airway scenarios

 Chapter 15─Chapter 20: The role of styletubation during COVID-19 pandemic

The authors also wish to acknowledge the contribution made by publishers who accomplish the knowledge sharing of the publications we presented in this monograph. The book has been written expressly for the providers with a solid background in airway management, in order to serve as a reference while they accumulate additional experience in intubation. Experience is the best teacher in airway management.

It is our intention to provide basic, practical and tested maneuvers to manage the airway in the real world. Our contribution to this book is to share the result of personal experience gained over many years of clinical practice. It is a statement earned by personal observation, building upon the knowledge of those who taught us.

Alan H. Shikani, MD, FACS

About Hsiang-Ning Luk, MD, MS, PhD, CIP

●Education:

MD National Defense Medical Center, Taiwan

MS Pharmacology, National Defense Medical Center, Taiwan

PhD Physiology, Leuven University, Belgium

CIP Certified IRB Professional, CCIP, USA

●Academic Position:

National Defense Medical Center, Taipei

National Yang-Ming University, Taipei

National Taipei Nursing College, Taipei

Chang Gung University, Linkou

Chung Shan Medical University, Taichung

Catholic Providence University, Taichung

...

1147349929
Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

Management of the upper airway and endotracheal intubation are provided by a variety of specialists including anesthesiologists, otorhinolaryngologists, emergency physicians, and pulmonary physicians. Fibreoptic and video technologies are widely used for airway management. Optical stylets, which incorporate flexible fibreoptic imaging elements in an intubation stylet, are gradually becoming the preferred intubation tools for a growing number of specialists. The ideal optical stylet should provide illumination and an image of high clarity, familiar handling with malleability and additional tip flexion, and low cost so that it becomes available to the larger community of airway providers.

The Shikani Optical stylet (SOS) was introduced in 1999 as a novel intubating stylet which has a lens at the distal end, a fiberoptic cable inside and is connected to a camera and a video monitor, hence allowing continuous visualization of the airway during introduction of the tube into the glottis [Shikani AH. New "seeing" stylet-scope and method for the management of the difficult airway. Otolaryngol Head Neck Surg. 1999 Jan;120(1):113-6. doi: 10.1016/S0194-5998(99)70380-3.]. The SOS allowed the introduction of the Shikani technique for intubation (Styletubation), which allows endotracheal intubation without the need of the rigid laryngoscope blade to retract the base of the tongue, hence minimizing the risk of trauma to the glottis or dentition. The SOS and Shikani technique for intubation (Styletubation) have been used in millions of patients worldwide (mainly in Asia), published in more than 100 articles and cited in many more.

This book is a review of our clinical experience with optical stylets, with the Shikani Optical stylet and the Shikani technique for intubation (Styletubation). In this monograph (volume 1), we collected several published articles covering several topic as follows.

 Chapter 1─Chapter 5: The history and development of styletubation

 Chapter 6─Chapter 8: The technical pearls and tips of styletubation

 Chapter 9─Chapter 14: The role of styletubation in various difficult airway scenarios

 Chapter 15─Chapter 20: The role of styletubation during COVID-19 pandemic

The authors also wish to acknowledge the contribution made by publishers who accomplish the knowledge sharing of the publications we presented in this monograph. The book has been written expressly for the providers with a solid background in airway management, in order to serve as a reference while they accumulate additional experience in intubation. Experience is the best teacher in airway management.

It is our intention to provide basic, practical and tested maneuvers to manage the airway in the real world. Our contribution to this book is to share the result of personal experience gained over many years of clinical practice. It is a statement earned by personal observation, building upon the knowledge of those who taught us.

Alan H. Shikani, MD, FACS

About Hsiang-Ning Luk, MD, MS, PhD, CIP

●Education:

MD National Defense Medical Center, Taiwan

MS Pharmacology, National Defense Medical Center, Taiwan

PhD Physiology, Leuven University, Belgium

CIP Certified IRB Professional, CCIP, USA

●Academic Position:

National Defense Medical Center, Taipei

National Yang-Ming University, Taipei

National Taipei Nursing College, Taipei

Chang Gung University, Linkou

Chung Shan Medical University, Taichung

Catholic Providence University, Taichung

...

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Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

Styletubation: A Video Intubating Stylet Technique for Endotracheal Intubation

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Overview

Management of the upper airway and endotracheal intubation are provided by a variety of specialists including anesthesiologists, otorhinolaryngologists, emergency physicians, and pulmonary physicians. Fibreoptic and video technologies are widely used for airway management. Optical stylets, which incorporate flexible fibreoptic imaging elements in an intubation stylet, are gradually becoming the preferred intubation tools for a growing number of specialists. The ideal optical stylet should provide illumination and an image of high clarity, familiar handling with malleability and additional tip flexion, and low cost so that it becomes available to the larger community of airway providers.

The Shikani Optical stylet (SOS) was introduced in 1999 as a novel intubating stylet which has a lens at the distal end, a fiberoptic cable inside and is connected to a camera and a video monitor, hence allowing continuous visualization of the airway during introduction of the tube into the glottis [Shikani AH. New "seeing" stylet-scope and method for the management of the difficult airway. Otolaryngol Head Neck Surg. 1999 Jan;120(1):113-6. doi: 10.1016/S0194-5998(99)70380-3.]. The SOS allowed the introduction of the Shikani technique for intubation (Styletubation), which allows endotracheal intubation without the need of the rigid laryngoscope blade to retract the base of the tongue, hence minimizing the risk of trauma to the glottis or dentition. The SOS and Shikani technique for intubation (Styletubation) have been used in millions of patients worldwide (mainly in Asia), published in more than 100 articles and cited in many more.

This book is a review of our clinical experience with optical stylets, with the Shikani Optical stylet and the Shikani technique for intubation (Styletubation). In this monograph (volume 1), we collected several published articles covering several topic as follows.

 Chapter 1─Chapter 5: The history and development of styletubation

 Chapter 6─Chapter 8: The technical pearls and tips of styletubation

 Chapter 9─Chapter 14: The role of styletubation in various difficult airway scenarios

 Chapter 15─Chapter 20: The role of styletubation during COVID-19 pandemic

The authors also wish to acknowledge the contribution made by publishers who accomplish the knowledge sharing of the publications we presented in this monograph. The book has been written expressly for the providers with a solid background in airway management, in order to serve as a reference while they accumulate additional experience in intubation. Experience is the best teacher in airway management.

It is our intention to provide basic, practical and tested maneuvers to manage the airway in the real world. Our contribution to this book is to share the result of personal experience gained over many years of clinical practice. It is a statement earned by personal observation, building upon the knowledge of those who taught us.

Alan H. Shikani, MD, FACS

About Hsiang-Ning Luk, MD, MS, PhD, CIP

●Education:

MD National Defense Medical Center, Taiwan

MS Pharmacology, National Defense Medical Center, Taiwan

PhD Physiology, Leuven University, Belgium

CIP Certified IRB Professional, CCIP, USA

●Academic Position:

National Defense Medical Center, Taipei

National Yang-Ming University, Taipei

National Taipei Nursing College, Taipei

Chang Gung University, Linkou

Chung Shan Medical University, Taichung

Catholic Providence University, Taichung

...


Product Details

ISBN-13: 9781665898997
Publisher: EHGBooks
Publication date: 10/01/2025
Sold by: Barnes & Noble
Format: eBook
Pages: 344
File size: 106 MB
Note: This product may take a few minutes to download.

Table of Contents

Preface

Autobiography/Shinn-Zong, John, Lin, MD, PhD, FAAAS, FNAI, IFAANS, CPI

Autobiography/Alan H. Shikani, MD, FACS

Autobiography/Jason Zhensheng Qu, M.D.

Autobiography/Hsiang-Ning Luk, MD, MS, PhD, CIP

Table of Contents

Chapter 1/The early history and development of the Shikani Optical stylet and Shikani Method of Intubation (Styletubation)

Alan H. Shikani, MD, FACS

Chapter 2/The Holy Grail for Endotracheal Intubation in the 21st Century

Hsiang-Ning Luk, San-Qing Jin, Jason Zhensheng Qu, Alan Shikani

Chapter 3/A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Luk, H.-N., Luk, H.-N., Zhensheng Qu, J., & Shikani A.

Chapter 4/Styletubation: The Paradigmatic Role of Video-Assisted Intubating Stylet Technique for Routine Tracheal Intubation

Luk HN, Qu JZ, Alan H. Shikani A.

Chapter 5/Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation

Luk, H.-N, Qu, J.Z.

Chapter 6/An Approach to Improve the Effectiveness of the Video-Assisted Intubating Stylet Technique for Tracheal Intubation: A Case Series Report

Lan CH, Luk HN, Qu JZ, Alan H. Shikani

Chapter 7/Four Approaches of Styletubation for Handling the Orotracheal Intubation: A Technical Tip

Cheong MW, Luk HN, Qu JZ, Shikani A.

Chapter 8/Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

Jhuang BJ, Luk HN, Qu JZ, Alan H. Shikani

Chapter 9/Video-Assisted Intubating Stylet Technique for Difficult Intubation: A Case Series Report

Tsay PJ, Yang CP, Luk HN, Qu JZ, Shikani A.

Chapter 10/Styletubation for Routine Tracheal Intubation for Ear-Nose-Throat Surgical Procedures

Luk HN, Qu JZ, Shikani A.

Chapter 11/The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility

Shih TL, Koay KP, Hu CY, Luk HN, Qu JZ, Shikani A.

Chapter 12/Styletubation in Bariatric Surgery: A Case Report

Wu BG, Luk HN, Qu JZ, Shikani A.

Chapter 13/Structured Routine Use of Styletubation for Oro-Tracheal Intubation in Obese Patients Undergoing Bariatric Surgeries-A Case Series Report

Lee HC, Wu BG, Chen BC, Luk HN, Qu JZ.

Chapter 14/Combined Styletubation with Videolaryngoscopy for Tracheal Intubation in Patients Undergoing Thyroidectomy with Intraoperative Neuromonitoring

Pan, H.-S.; Corey, T.; Luk, H.-N.; Qu, J.Z.; Shikani, A.

Chapter 15/Adaptation to the Plastic Barrier Sheet to Facilitate Intubation During the COVID-19 Pandemic

Yang YL, Huang CH, Luk HN, Tsai PB.

Chapter 16/Plastic Sheet and Video Intubating Stylet: A Technical Note

Tsai PB, Luk HN.

Chapter 17/Application of Plastic Sheet Barrier and Video Intubating Stylet to Protect Tracheal Intubators During Coronavirus Disease 2019 Pandemic: A Taiwan Experience

Luk H-N, Yang Y-L, Tsai PB.

Chapter 18/Sheet Barrier and Intubating Stylet

Tsai, P.B.; Luk, H.-N.

Chapter 19/Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients

Huang CH, Su IM, Jhuang BJ, Luk HN, Qu JZ, Shikani A.

Chapter 20/The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient

Yang CP, Luk HN, Qu JZ, Shikani A.

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