Bibliographic record
Abstract
To the Editor: The GlideScope (Saturn Biomedical System Inc, Burnaby, British Columbia, Canada) is a video laryngoscope that may be a useful alternative in difficult airway management. Reports have indicated that the GlideScope can provide adequate vision of the glottis (Cormack and Lehane grade I-II) even when the oral, pharyngeal and laryngeal axes are not aligned (1–2). The GlideScope incorporates a high-resolution digital camera located in the middle of the blade tip. The glottis is visualized through a video cable, using a high-resolution LCD monitor. The blade design of the GlideScope has several advantages; an embedded anti-fogging mechanism, a reduced overall thickness of 18 mm, and 60-degree curvature to match the anatomical alignment. Topicalization of the larynx and trachea can prevent increases in arterial blood pressure during intubation and positioning of patients (3). Cough and laryngospasm in response to intubation can be troublesome. Anesthesiologists frequently try to prevent these responses using medications delivered either topically or IV. The larynx and trachea are easily anesthetized with local anesthetic sprays such as lidocaine and tetracaine. MADgic (Wolfe Tory Medical Inc, Salt Lake City, UT) is a new device for spraying topical anesthetics in the laryngotracheal region. This device can provide atomized topical solution directly to the mucosa of the nose, larynx, and through the vocal cords. The applicator portion can be adapted to an individual patient’s anatomy. We have combined these two devices to provide topicalization of the glottis. In our experience of 22 patients (20 anesthetized and 2 awake), the GlideScope reliably produced a Cormack and Lehane grade I-II view for spraying the vocal cords. The curvature of the Wolfe Tory device provided optimal positioning for this purpose (Fig. 1) Previous attempts using the LTA kit (Abbott Laboratories, Abbott Park, IL) spray did not give optimal placements.Figure 1.: GlideScope handle with Wolfe Tory atomizer.The GlideScope provides superior vision of the glottis, allowing for spray of the larynx and vocal cords when combined with the Wolfe Tory device. This technique is easy to perform and allows others to observe airway anatomy and successful topicalization. Kaew Supbornsug, MD Irene P. Osborn, MD Department of Anesthesiology Mount Sinai Medical Center New York, NY
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.010 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.003 | 0.001 |
| Research integrity | 0.011 | 0.013 |
| Insufficient payload (model declined to judge) | 0.005 | 0.005 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".