An interesting device, which is gaining traction.  Designed by Pedro Acha (the man behind the original AirTraq) to act as a one-stop device for difficult and rescue airways, providing the advantages of supraglottic oxygenation/ventilation and video-guided intubation.  We will see if it finds a niche.

Manufacturer’s video with features:

Published work so far (updated March 2016):

• A New Option in Airway Management: Evaluation of the TotalTrack® Video Laryngeal Mask.  Choonoo J, Hofmeyr R, Evans N, James MFM, Meyersfeld N.  Southern African Journal of Anaesthesia & Analgesia.  DOI:10.1080/22201181.2016.1159784
• Evaluation of the Totaltrack VLM. Janine Choonoo, Ross Hofmeyr, Niall Evans, Mike James, Nick Meyersfeld.  Department of Anaesthesia, University of Cape Town. Poster at WAMM 2015
• The Totaltrack VLM: an initial evaluation. M. Á. Gómez-Ríos*, E. Freire-Vila, L. Vizcaíno-Martínez and E. Estévez-González A Coruña, Spain.  Letter to the editor, British Journal of Anaesthesia, 2015
• Clinical validation of the Totaltrack VLM. A new Video Laryngeal Mask Airway For Surpraglotic Ventilation, Tracheal Intubation and Extubation.  Valencia Orgaz1, P. Garrido Ortega2, A. García Gutiérrez3, F. Pérez-Cerdà Silvestre4. H. Univ. 12 de Octubre & H. Univ. La Paz (Spain) Poster at WAMM 2015
• Use of the new Videolaryngeal Mask: Totaltrack VLM for the Airway Management of an Obese Morbid Patient BMI 71. Case Report. Valencia Orgaz, A. García Gutiérrez, F. Pérez-Cerdá Silvestre, A. Capotán Beas. Univ. 12 de Octubre. Madrid. Spain Poster at WAMM 2015
• VLM Totaltrack. Use in a Large Cystic Lesion in Left Arytenoepiglottic Fold: A Case Report and Review of Literature. Martinez Hurtado, Eugenio1; Sánchez Merchante, Miriam2; Muñoz Saldaña Paloma1, Lucena de Pablo, Elena1, Ripolles Melchor, Javier,1; Sanz Gonzalez, Rosa1. 1Hospital Universitario Infanta Leonor, Spain. 2Hospital Universitario Fundación Alcorcón. Spain. Poster at WAMM 2015
• Airway management with cervical spine immobilization: a comparison between the Macintosh Laryngoscope, Trueview Evo2 and Totaltrack VLM – a manikin study Co-authors: Dawid Aleksandrowicz¹, Tomasz Gaszyński² ¹ London North West Healthcare NHS Trust, London, UK. ² Medical University of Łódź, Poland Poster at WAMM 2015
• Totaltrack Video intubating laryngeal mask in superobese patients. Tomasz Gaszyński Department of Anesthesiology and Intensive Therapy, Barlicki University Hospital, Medical University of Lodz, Poland  Poster at WAMM 2015
• The use of Totaltrack VLM Video Laryngeal Mask for tracheal intubation: A feasibility study.  Carlos A. Artime, M.D.1, Katherine C. Normand, M.D.2, Tyrone Burnett Jr., B.S.3, Chunyan Cai, Ph.D.4, Carin A. Hagberg, M.D.5  1, 2, 3, 5 Department of Anesthesiology, The University of Texas Health Science Center at Houston (UTHealth) Medical School, Houston, TX, USA 4 Clinical & Translational Science, The University of Texas Health Science Center at Houston (UTHealth) Medical School, Houston, TX, USA Poster at WAMM 2015
• Supraglotic Airways as tracheal tube introducers.  DuCanto, Aurora St. Luke’s Medical Center, Wisconsin, USA. Anesthesiology News-August 2015
• A new Option in Airway Management: Initial Experience with the Totaltrack Video Laryngeal Mask. Janine Choonoo, Ross Hofmeyr, Niall Evans, Mike James, Nicholas Meyersfeld.  Department of Anaesthesia, University of Cape Town.  Poster at NWAC 2015
• Initial Impressions of a New Airway Device – The Totaltrack VLM  Dr Andrew McKechnie, Dr Branavan Retnasingham, Dr Jay Dasan.  King’s College Hospital, London, UK  Poster at WAMM 2015
• Totaltrack VLM use in a Predicted Difficult Airways. Dr Andrew McKechnie, Dr Branavan Retnasingham, Dr Jay Dasan. King’s College Hospital, London, UK Poster at WAMM 2015
• Strategy for Addressing the Airway in a Forced Lateral Decubitus.  Guillermo Navarro, M.D.* and Rubén Allori, M.D. Hospital de Emergencias Clemente Alvarez Rosario, Argentina *Director of the Difficult Airway Chapter of La Confederación Latinoamericana de Sociedades de Anestesia (CLASA)  SAM Winter Gazette 2016
• Editorial about Totaltrack VLM. Dr. Katherin Gil, Northwestern Memorial Hospital, Chicago (US) SAM Winter Gazette 2016
• Totaltrack Video Intubating Laryngeal Mask in super-obese patients – series of cases. Tomasz Gaszynski, Department of Emergency and Disaster Medicine. Medical University of Lodz, Lodz, Poland Therapeutics and Clinical Risk Management, Feb, 2016
• Evaluación Clínica del Totaltrack. Vila Caral P*, Gonzalez Carrasco FJ#, Jimenez Capel Y*. *Hospital Universitari Germans Trias i Pujol. Badalona.  #Hospital Universitari de la Santa Creu i Sant Pau. Barcelona Poster in SEDAR 2015
• Intubación Exitosa con Totaltrack en paciente politraumatizado y con fracturas cervicales inestables: a propósito de un caso. Julio Ontoria Muriel, Meryem Benslimane Adanero, Sandra Narváez Galán, Guillermo Quesada Muñoz, Ana María Sánchez Rapún, José Antonio Reinaldo Lapuerta. Hospital Costa del Sol. Marbella. Poster in SEDAR 2015
• Totaltrack: Dispositivo que permite la Intubación-Ventilación bajo visión directa. Tirado, ML; Cuevas, P; López-Toribio, P; García, MA; López-Andrade, A. Hospital Santa Ana, Motril. Complejo Hospitalario de Granada. Poster in SEDAR 2015

Disclaimer: we have been involved in some of the original research, but do not have any conflicts of interest or financial connection to the company.

View through the TotalTrack during an intubation of a patient with severe OSA:

https://youtu.be/Fjp0WTz2sD4