Direct laryngoscopy - Revision history

Rossdonaldson1 at 21:12, 17 April 2024

2024-04-17T21:12:31Z

← Revisión anterior		Revisión del 21:12 17 abr 2024
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	==Overview<ref>Peterson K, Ginglen JG, Valenzuela FI, et al. Direct Laryngoscopy. [Updated 2020 Mar 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513224/[Category:Procedures]]		==Overview==
	</ref>==		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	* Used to facilitate [[intubation]]		[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
			[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]
			[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
			[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
			* Used to facilitate [[intubation]]<ref>Peterson K, Ginglen JG, Valenzuela FI, et al. Direct Laryngoscopy. [Updated 2020 Mar 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513224/[Category:Procedures]]
			</ref>
	* Provides direct line of sight of vocal cords (as opposed to [[video laryngoscopy]])		* Provides direct line of sight of vocal cords (as opposed to [[video laryngoscopy]])
	* Most often utilizes Mac or Miller Blade		* Most often utilizes Mac or Miller Blade

2021-06-22T18:14:59Z

External Links

← Revisión anterior		Revisión del 18:14 22 jun 2021
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	*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]		*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]
	*[https://aneskey.com/anatomy-of-direct-laryngoscopy/ Anesthesia Key: Anatomy of Direct Laryngoscopy]		*[https://aneskey.com/anatomy-of-direct-laryngoscopy/ Anesthesia Key: Anatomy of Direct Laryngoscopy]
			*[https://maricopaemergencymedicine.com/battle-of-the-blades/ COPA STRONG: Battle of the Blades: The Death of DL?]

	==References==		==References==

2021-03-09T21:13:14Z

External Links

← Revisión anterior		Revisión del 21:13 9 mar 2021
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	==External Links==		==External Links==
	*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]		*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]
			*[https://aneskey.com/anatomy-of-direct-laryngoscopy/ Anesthesia Key: Anatomy of Direct Laryngoscopy]

	==References==		==References==

2021-03-09T19:32:08Z

Procedure (Miller Blade)

← Revisión anterior		Revisión del 19:32 9 mar 2021
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	* An alternative technique if initially unsuccessful is to purposefully insert the blade into the esophagus and withdrawal until the glottis is visualized		''An alternative technique if initially unsuccessful is to purposefully insert the blade into the esophagus and withdrawal until the glottis is visualized''

	==Optimizing Laryngoscopy==		==Optimizing Laryngoscopy==

2021-03-09T07:01:56Z

Optimizing Laryngoscopy

← Revisión anterior		Revisión del 07:01 9 mar 2021
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	**Use right hand to apply pressure over assistants hand and manipulate trachea until cords are visualized		**Use right hand to apply pressure over assistants hand and manipulate trachea until cords are visualized
	**Have assistant maintain position as you deliver tube		**Have assistant maintain position as you deliver tube
	*If epiglottis is "floppy" (common in peds), retract blade slightly and lift epiglottis with blade (similar to how Miller blade is used)		*If epiglottis is "floppy" (common in [[Intubation (peds)\|peds]]), retract blade slightly and lift epiglottis with blade (similar to how Miller blade is used)
	*Can use right hand to lift patients head off bed, when view obtained, have assistant place fist under patient head and use right hand to deliver tube		*Can use right hand to lift patients head off bed, when view obtained, have assistant place fist under patient head and use right hand to deliver tube

2021-02-16T05:25:53Z

Indications

← Revisión anterior		Revisión del 05:25 16 feb 2021
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	*Patients requiring [[Intubation\|endotracheal intubation]]		*Patients requiring [[Intubation\|endotracheal intubation]]
	*Foreign body removal (more effective than hyperangulated [[video laryngoscopy]])<ref>Je, S. M., Kim, M. J., Chung, S. P., & Chung, H. S. (2012). Comparison of GlideScope® versus Macintosh laryngoscope for the removal of a hypopharyngeal foreign body: A randomized cross-over cadaver study. Resuscitation, 83(10), 1277–1280.</ref>		*Foreign body removal (more effective than hyperangulated [[video laryngoscopy]])<ref>Je, S. M., Kim, M. J., Chung, S. P., & Chung, H. S. (2012). Comparison of GlideScope® versus Macintosh laryngoscope for the removal of a hypopharyngeal foreign body: A randomized cross-over cadaver study. Resuscitation, 83(10), 1277–1280.</ref>
	*~~Used in diagnosis~~ of vocal cord pathology		*Diagnosis of vocal cord pathology

	==Contraindications==		==Contraindications==

2021-02-16T05:25:05Z

← Revisión anterior		Revisión del 05:25 16 feb 2021
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	==Overview<ref>Peterson K, Ginglen JG, Valenzuela FI, et al. Direct Laryngoscopy. [Updated 2020 Mar 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513224/[Category:Procedures]]		==Overview<ref>Peterson K, Ginglen JG, Valenzuela FI, et al. Direct Laryngoscopy. [Updated 2020 Mar 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513224/[Category:Procedures]]
	</ref>==		</ref>==
	* Used to facilitate intubation		* Used to facilitate [[intubation]]
	* Provides direct line of sight of vocal cords (as opposed to [[video laryngoscopy]])		* Provides direct line of sight of vocal cords (as opposed to [[video laryngoscopy]])
	* Most often utilizes Mac or Miller Blade		* Most often utilizes Mac or Miller Blade

2021-02-12T16:18:46Z

Equipment Needed

← Revisión anterior		Revisión del 16:18 12 feb 2021
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	* A Macintosh 3 blade or Miller 2 blade are appropriate for most adults		* A Macintosh 3 blade or Miller 2 blade are appropriate for most adults
	[[File:Macintosh Blades.jpg\|thumb\|Macintosh Blades 1-5, from bottom to top]]		[[File:Macintosh Blades.jpg\|thumb\|Macintosh Blades 1-5, from bottom to top]]
			[[File:MAC_MILLER.png\|thumb\|The Macintosh blade is inserted into the vallecula (left) while the Miller blade is inserted under and lifts the epiglottis (right)]]

	==Procedure (Macintosh Blade)==		==Procedure (Macintosh Blade)==

2021-02-11T01:08:46Z

External Links

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	==External Links==		==External Links==
	*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]		*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]
	*https://aneskey.com/direct-laryngoscopy-2/

	==References==		==References==

2021-02-11T01:07:30Z

External Links

← Revisión anterior		Revisión del 01:07 11 feb 2021
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	==External Links==		==External Links==
	*https://litfl.com/direct-laryngoscopy/		*[https://litfl.com/direct-laryngoscopy/ LITFL: Direct Laryngoscopy]
	*https://aneskey.com/direct-laryngoscopy-2/		*https://aneskey.com/direct-laryngoscopy-2/