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Archive for January, 2008

Glidescope Tips

Tips on Advancing the Endotracheal Tube

New GlideScope® users often achieve an excellent view with the
GlideScope® but may experience some difficulty advancing the
endotracheal tube. This may be caused by two factors:

The first factor is excessive lifting or pushing of the glottis by
the GlideScope® blade. Maximum laryngeal exposure may not
facilitate intubation; reducing the elevation applied to the laryngoscope
may make inserting the endotracheal tube easier.

The second factor is the angulation of the tip of the endotracheal
tube. A GlideScope® Rigid Stylet (PN 0800-0309) that is
designed to match the angulation of the GlideScope® blade is
now available. The GlideRite® (PN 0830-0075) endotracheal
tube soft tip technology may make passage of the endotracheal
tube easier and less traumatic. Please contact a Verathon Medical
™ representative for more information.

If using a malleable stylet, we recommend bending the tip of the
stylet to at least 50–60° to match the angle of the GlideScope®
blade. An angle that is larger than 60° may make it difficult for
some users to advance the endotracheal tube.

Other methods of configuring the stylet have been developed by
GlideScope® users worldwide and have proven to be effective.
For more information on alternative methods of stylet configuration,
please contact your Verathon Medical™ representative.

GlideScope® Video Laryngoscope

Stylet

GlideRite™ Endotracheal Tube

Bend the proximal tip of the stylet.

If using a malleable stylet, the proximal tip of the stylet may be
bent backwards to permit one hand operation of the endotracheal
tube. The GlideScope® Rigid Stylet is already designed to
be used in this manner, as shown in the illustration below.

Introducing the endotracheal tube.

The endotracheal tube should be introduced behind or immediately
adjacent to the GlideScope® blade. The proximal end of
the endotracheal tube should be carefully introduced between
the vocal folds. The operator should take care not to damage the
cuff, teeth or oropharynx during insertion.

Withdraw the stylet 5 cm (2″).

Using the right hand, advance the endotracheal tube while simultaneously
withdrawing the stylet with the thumb. The stylet
should be withdrawn approximately 5 cm (2″). This straightens
the tip of the endotracheal tube and permits it to enter the larynx
while the stylet continues to provide rigidity to the body of the
endotracheal tube.

Written by phil

January 4th, 2008 at 5:05 pm

Posted in Airway