What is a laryngoscope handle?

What is a laryngoscope handle?

The standard laryngoscope handle is an accessory used with compatible rigid standard laryngoscope blades which are used to examine and visualize a patient’s airway and aid placement of a tracheal tube.

What are two types of laryngoscope blades?

Laryngoscopes are designed for visualization of the vocal cords and for placement of the ETT into the trachea under direct vision. The two main types are the curved Macintosh blade and the straight blade (i.e., Miller with a curved tip and Wisconsin or Foregger with a straight tip).

How do I choose a laryngoscope blade?

II.Preparation: Estimated blade size selection

  1. With Laryngoscope Blade held next to patient’s face. Blade should reach between lips and Larynx (or lips to angle of jaw) …
  2. Better to choose a blade too long than too short. Estimate 1 cm longer than needed.
  3. Video Laryngoscopy Blade (e.g. Glidescope)

Are laryngoscope blades reusable?

The reusable blades provided significantly higher mean light intensity than the single-use blades, but a significantly greater proportion of reusable blades than single-use blades provided low illuminance (<40 lux). Most users surveyed rated the two blades as being equivalent.

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Which laryngoscope is most commonly used?

The most common laryngoscope blade used for intubation in adults is the curved Macintosh blade (Figure 34-4). This is inserted into the right side of the mouth to displace the tongue laterally. The tip of the blade sits in the vallecula and is lifted forward to elevate the epiglottis and expose the laryngeal inlet.

Where is laryngoscope used?

Laryngoscopy can be used to treat some problems in the vocal cords or throat. For example, long, thin instruments can be passed down the laryngoscope to remove small growths (tumors or polyps) on the vocal cords. A small laser on the end of a laryngoscope can also be used to burn away abnormal areas.

What is McCoy laryngoscope?

The McCoy Laryngocope Blade provides the clinician with greater flexibility and improved control in a wide selection of difficult intubation cases, such as: Forward displacement of the larynx. Forward or prominent upper teeth. Backward displacement of the tongue. Decreased neck movement.

What size is a laryngoscope?

A laryngoscope with a straight blade (size 1 [10 cm] for term infants and larger pre term infants, size 0 [7.5 cm] for premature infants < 32 w or 00 [6cm] for extremely low birth weight infants) is preferred. Some experienced operators use curved blades.

How is laryngoscope inserted?

Direct laryngoscopy is carried out (usually) with the patient lying on his or her 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 …

What is a polio blade?

Blade is offset from handle at an obtuse angle to allow. intubation of patients on respirators, in body jackets, as well as other difficult intubation scenarios. Frosted lamp provides diffused illumination without shadows.

What is a CMAC blade?

The C-MAC (Karl Storz, Tuttlingen, Germany) incorporates a standard Macintosh blade with a camera placed at its tip and a video display unit (9). Therefore, the C-MAC can be used both as a standard direct laryngoscope and as an indirect laryngoscope.

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Do laryngoscopes need to be sterile?

Cleaning laryngoscope handles: Laryngoscope handles may not require sterilization, but, as always, any process must follow the manufacturers’ recommendations. Laryngoscope handles are considered contaminated after use and must be processed prior to use with the next patient.

Is laryngoscope sterile?

At some facilities, laryngoscope blades are sterilized, which is acceptable but not necessary (CDC, 2003). Packaging blades requires the package to be opened if nursing must test the laryngoscope bulb on the blade. This results in a blade being replaced inside an open paper-plastic pouch.

What is the size of laryngoscope blade for 30 weeks?

Using this rule, a 2.5mm ID endotracheal tube would be used for an infant born at 25 weeks’ gestation, a 3.0mm ID for an infant born at 30 weeks and a 3.5mm ID for an infant born at 35 weeks’ gestation.

How do you clean a laryngoscope?

I use the following method for cleaning and disinfection of laryngoscope blade: Rinse under running water. Washing with detergent/soap solution. Wipe with an alcohol swab. … I disinfect the laryngoscope handle:

  1. After every use.
  2. When there is visible blood or secretions.
  3. Once in a while.
  4. I don’t disinfect the handle generally.

What is fiber optic laryngoscope?

Flexible fiberoptic laryngoscopy is the most common examination used to view the throat and its surrounding structures. Performed endoscopically, it is performed to visualize abnormalities, biopsy tissue, or remove small growths, such as polyps, from the region.

What is video laryngoscope?

Video laryngoscopy is a form of indirect laryngoscopy in which the clinician does not directly view the larynx. Instead, visualization of the larynx is performed with a fiberoptic or digital laryngoscope inserted transnasally or transorally.

What is fiber optic laryngoscopy?

Fiberoptic laryngoscopy is a diagnostic test that uses a thin tube with a light source and camera attached at its tip to help the doctor inspect your throat for problems. The procedure is performed to examine the back of the throat and vocal cords.

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How do you intubate with Miller blade?

If using the Miller blade, then advance to the epiglottis and place the tip of your blade on the epiglottis. Then you sweep the tongue to the left and pull your blade towards your patient’s feet, lifting the epiglottis. Your Goal is just below the epiglottis.

How do you intubate with Bougie?

How do you intubate a Mac blade?

Procedure (Macintosh Blade)

  1. Place patient into sniffing position.
  2. Use scissor technique with right hand to open mouth.
  3. Insert laryngoscope blade into right side of mouth.
  4. Slowly advance blade into mouth while performing tongue sweep
  5. Identify epiglottis.
  6. Advance tip of blade into vallecula.

What are laryngoscope blades made of?

Manufactured to provide both conventional and fiber optic flexible laryngoscope blades. Another product to assist you with difficult intubations. Blades made of surgical stainless steel.

How do you use a laryngoscope blade?

How do you lift your laryngoscope?

With your shoulders relaxed and your arms by your sides you can lifting the jaw easily without rotating the blade back onto the teeth. During laryngoscopy lift upward and away, never rotate the blade back onto the teeth.

Where is the laryngoscope inserted?


  1. One must first properly position the patient. …
  2. Next, one must open the patient’s mouth by using the right hand. …
  3. The laryngoscope is then inserted in the right side of the mouth, and the blade is then used to sweep the tongue to the left, then the blade is smoothly advanced to the epiglottis.

What are the parts of laryngoscope?

The laryngoscope blade itself consists of 3 components: a spatula, which passes over the lingual surface of the tongue; a flange, which is used to direct or displace the tongue; and a tip, which is designed to lift the epiglottis either directly or indirectly (Fig. 7). Fig.