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Video laryngoscopes are specialized fiberoptic laryngoscopes that use a digital video camera sensor to allow the operator to view the glottis and larynx on a video monitor. [ 13 ] [ 14 ] Other "noninvasive" devices which can be employed to assist in tracheal intubation are the laryngeal mask airway [ 15 ] (used as a conduit for endotracheal ...
Anatomical parts seen during laryngoscopy. Direct laryngoscopy is carried out (usually) with the patient lying on their back; the laryngoscope is inserted into the mouth on the right side and flipped to the left to trap and move the tongue out of the line of sight, and, depending on the type of blade used, inserted either anterior or posterior to the epiglottis and then lifted with an upwards ...
Laryngoscope: used in direct laryngoscopy; video link: Jobson Horne's probe with ring curette: to access or clean the external ear: Tuning forks: for various clinical tests of hearing loss; vibration sense test Pritchard's politzerization apparatus: video link: Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from ...
Several manufacturers have developed video laryngoscopes that use digital technology such as the CMOS active pixel sensor (CMOS APS) to generate a view of the glottis so that the trachea may be intubated. The Glidescope video laryngoscope is one example of such a device. [91] [92]
The operator introduces the video laryngoscope through the mouth with a technique similar to direct laryngoscopy. The larynx and vocal cords are visualized via the camera and the operator is able to pass the endotracheal tube through the vocal cords and into the trachea under direct visualization on the video monitor. [9]
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The Cormack–Lehane system classifies views obtained by direct laryngoscopy based on the structures seen. It was initially described by R.S. Cormack and J. Lehane in 1984 as a way of simulating potential scenarios that trainee anaesthetists might face.
Lead with suction to enable identification of relevant anatomical structure (posterior portion of tongue, epiglottis, vallecular and laryngeal outlet) and follow with the laryngoscope (particularly important with video laryngoscopes to avoid contaminating the optics).
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