Novel Use of Glidescope Indirect Laryngoscopy for Insertion of a Minnesota Tube for Variceal Bleeding

Adam B. Schlichting, MD, MPH; Jayna M. Gardner-Gray, MD; Gina Hurst, MD


J Emerg Med. 2015;49(1):40-42. 

In This Article


We advocate the use of indirect laryngoscopy during placement of all esophageal tamponade devices for several reasons. Indirect video laryngoscopes are becoming increasingly available in emergency departments and intensive care units and take minimal time to prepare for use. Also, procedures such as esophageal tamponade balloon placement are performed in emergency situations, during which use of the videolaryngoscopy can provide visual confirmation of esophageal intubation. Indirect laryngoscopy can additionally help reduce exposure to blood and bodily fluid as compared to direct laryngoscopy. Lastly, indirect laryngoscopy offers the advantage of a display screen for multiple viewers to observe the placement of the catheter into the esophagus, which may improve quality of teaching and instruction in training institutions. The use of indirect videolaryngoscopy has not been previously described with placing esophageal tamponade devices, and our case series successfully demonstrates the usefulness and practicality of this technique.