FACT or CRAP? 1st June 2012 by Dr DuCanto
Effectiveness and safety of the Levitan FPS Scope™ for tracheal intubation under general anesthesia with a simulated difficult airway.
Okay folks. Jimmy D wanted to comment on an article from Canada on the Levitan FPS scope I sent him. He wrote back with a great idea! See below…
Jimmy’s rant starts now:
This gives me an idea for an ongoing intellectual exercise that would benefit all of us, and particularly, physicians in training. It could periodically become a fixture in your blog, and we could easily rotate the duty of who handles the “heavy lifting” of creating content to feed this feature. The feature would be based on a popular page-a-day calendar known as “Fact or Crap”. As you are Australian, we might call it “Fact or Rubish”. It’s almost as if we are reviewing articles in the same way that media types review movies.
For instance, new movie “Battleship” in movie theaters now—quintesenntial “Guy” movie. Aliens (not A-lines), huge explosions, naval warfare, decent action…..I give it two thumbs up.
This article? They evaluated the Levitan for the wrong role. If they initially stated that the device has been compared to the utility of a bougie (which requires DL), why would they compare against DL alone for efficacy? That was the WRONG way to evaluate the Levitan–it assess the device’s ability to create space and visualize structures. It is really bad at creating its own space (all fiberoptic scopes share this same property). This article gets two thumbs down from me–useless study design provides useless resultants and promulgates medical mis-information.
A better study design may have been to compare the rate at which each device can fall toward the bottom of a 6 meter swimming pool—-chances are, the Mac blade and handle may win (less buoyancy due to the Levitan being made of plastic around the eyepiece). Think about it and let me know what you think. I think it’s only natural that we continue our dialogue in multiple different capacities such as this.
Here is the calendar. Enjoy (I looked up the answer on the back of the page and marked it on the front). I put the Twinkies box in the background for a laugh(with my pager on top of it) . They are pastries so sugary and awful that urban legend in the United States claims that the lowly cockroach does not recognize it as food. My kids bought them–I gave them up 30 years ago.
Jimmy’s rant ends now.
Wow, when Jimmy’s buttons get pushed he sure speaks his mind! I wrote back and in general terms, disagreed with him. My own take on the Levitan FPS is that its a fantastic device with good training and practice. You need to work at getting good at it combined with direct laryngoscopy. Its brilliance comes out when you combine it with a SGA/LMA device and use it to tube through the SGA. More videos from DuCanto demonstrating this to follow. Stay tuned. And look forward to more episodes of FACT OR CRAP?