 Device overview |
 Limited mouth opening |
 Limited neck and head |
 Totally immersible |
 |
4 steps to successful intubation
Preparation
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Use a fresh battery, preferably Lithium.
-
Attach the single use blade until it clicks securely into place.
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Apply a drop of anti-fog solution to the portion of the blade that covers the camera lens.
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Apply a small amount of lubricant on the end of the stylet to assist with swift removal.
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Insert the stylet into the tube ensuring that the tip is not protruding from the end of the tube.
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Shape the styletted tube to between 45 - 90° angle. This is ice hockey stick¹ shaped, alternatively mould it to the same curvature as the blade.
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Using a stylet that is large in diameter will provide better control when steering the tube.
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Bend down the top of the stylet over the top of the tube. This stops the stylet from advancing through the end of the tube and gives the user a hook to aid quick removal.
-
If a bougie is used the end should be curved slightly (approximately
30°). A bougie that holds its shape for the length of the intubation would
be preferable.
1
Look directly into the mouth. Introduce the blade in a midline position
into the oral cavity.
Follow the base of the tongue.
Unlike direct laryngoscopy, there is no requirement to sweep the tongue
or align the airway axis.
into the oral cavity.
Follow the base of the tongue.
Unlike direct laryngoscopy, there is no requirement to sweep the tongue
or align the airway axis.
2
When the epiglottis is visible on screen, advance the blade into the
vallecula.
Ensure that the blade does not drop under the epiglottis and go too
close to the cords.
Lift the epiglottis using a gentle pivoting motion to expose vocal cords.
Placement in the vallecula is confirmed by viewing the epiglottis on screen.
.
vallecula.
Ensure that the blade does not drop under the epiglottis and go too
close to the cords.
Lift the epiglottis using a gentle pivoting motion to expose vocal cords.
Placement in the vallecula is confirmed by viewing the epiglottis on screen.
.
3
Look into the mouth while inserting the styletted tube or bougie in a
retro-molar position taking care to avoid the tonsil and palate area.
When the tube is visible on the screen, slowly steer it towards the cords.
Going slowly gives you more control over the direction of the tube.
retro-molar position taking care to avoid the tonsil and palate area.
When the tube is visible on the screen, slowly steer it towards the cords.
Going slowly gives you more control over the direction of the tube.
4
Before passing the tube through the cords withdraw the stylet from the
tube 1-2 inches.
Advance the tube completely and then fully withdraw the stylet.
Slight rotation of the tube may be required.
If there are difficulties placing the tube through the cords check that the
blade is correctly located in the vallecula and that the epiglottis can be
viewed on the screen.
.
tube 1-2 inches.
Advance the tube completely and then fully withdraw the stylet.
Slight rotation of the tube may be required.
If there are difficulties placing the tube through the cords check that the
blade is correctly located in the vallecula and that the epiglottis can be
viewed on the screen.
.
