Blade laryngoscopy. Medical search. Frequent questions

Short Thyromental Distance: A Predictor of Difficult Intubation or an Indicator for Small Blade Selection? (asahq.org)
This article will discuss intubation technique using a curved blade. (airwayjedi.com)
The act of intubation by direct laryngoscopy alternates hands. (airwayjedi.com)
Laryngoscopy may be performed to facilitate tracheal intubation during general anaesthesia or cardiopulmonary resuscitation or for surgical procedures on the larynx or other parts of the upper tracheobronchial tree. (wikipedia.org)
This procedure is most often employed by anaesthetists for endotracheal intubation under general anaesthesia, but also in direct diagnostic laryngoscopy with biopsy. (wikipedia.org)
Unique however was the inclusion of batteries within the handle, a central notch in the blade for maintaining the tracheal tube in the midline of the oropharynx during intubation, and a slight curve to the distal tip of the blade to help guide the tube through the glottis. (wikipedia.org)
Janeway was thus instrumental in popularizing the widespread use of direct laryngoscopy and tracheal intubation in the practice of anesthesiology. (wikipedia.org)
This study aimed to compare the effects of lidocaine 10% spray on the laryngoscope blade with intravenous lidocaine on cardiovascular responses to laryngoscopy and intubation in elective surgical patients. (ac.ir)
Also various accessories such as bougie, prism, angle adaptor and mirrors as well as various methods of laryngoscopy such as modified straight blade laryngoscopes were tried to overcome the problem of difficult intubation. (ispub.com)
Our study is aimed at finding out some alternative and effective methods of laryngoscopy for glottic visualization and intubation .Our study compared the Cormack Lehane grade, head extension angle, laryngoscope blade levering motion angle [ LBLM ] and pressor response with Macintosh, McCoy and Balloon Laryngoscopy in Neutral and Head Extension position. (ispub.com)
If you've ever wondered why the little hole near the tip of an endotracheal tube is called the Murphy Eye, or who Macintosh was, or even who performed the first intubation, this quick trip through the history of endotracheal tubes and laryngoscopy is for you. (ems1.com)
A difficult airway is one for which a preintubation examination identifies attributes that are likely to make laryngoscopy, intubation, bag-mask ventilation (BMV), the use of a supraglottic device, or surgical airway management more difficult than would be the case for a normal airway. (medscape.com)
The optical stylet manufactured by Clarus replaced direct laryngoscopy as my intubation device of choice. (clarus-medical.com)
The Anesthesiologist's attempts included laryngoscopy, different blades, LMA intubation and flexible-fiberoptic assisted intubation, all without success. (clarus-medical.com)
There is conflicting data in literature to show that the McCoy laryngoscope is less stressful and opioids can actually be avoided during laryngoscopy and intubation with the use of this laryngoscope. (jpgmonline.com)
Heart rate, systolic and diastolic blood pressure were measured after laryngoscopy, after intubation and subsequently every minute for the next five minutes. (jpgmonline.com)
Lastly, on the sixth attempt, the FOB was inserted on the LEFT of the glidescope blade and successful endotracheal intubation was obtained. (fsahq.org)
Under visualization, using either direct laryngoscopy or one of various types of video laryngoscopy, the ET tube is inserted into the mouth and directed into the trachea (orotracheal intubation). (msdmanuals.com)
Orotracheal intubation was long done using direct laryngoscopy. (msdmanuals.com)
However, video laryngoscopy is a useful method of endotracheal intubation because it can provide better visualization of the glottis than direct laryngoscopy. (msdmanuals.com)
It provides you the opportunity to discover and learn from peers how they changed their approach to using video laryngoscopy as first line intubation therapy. (medtronic.com)
Study that reviews the duration of laryngoscopy and intubation as well as Cormack-Lehane grading to determine number of attempts and optimisation maneuvers. (medtronic.com)
The purpose of this study was to compare inferior airway views provided by the use of three commonly available laryngoscopy blades-Macintosh, Miller, or Glidescope Mac-Style-to the incidence of difficult orotracheal intubation. (ochsner.org)
The association of these blades with difficult orotracheal intubation was analyzed with risk and proportion differences measures of effect size. (ochsner.org)
proportion differences for difficult orotracheal intubation were dependent upon the type of blade used, with the Miller blade providing the lowest proportion difference. (ochsner.org)
Conclusions Miller blade laryngoscopy provided the lowest proportion difference for difficult orotracheal intubation during general anesthesia for cesarean delivery. (ochsner.org)
C-spine motion was examined at the Occiput-C1 junction, C1-2 junction, C2-5 motion segment, and C5-thoracic motion segment during manual ventilation via bag-mask, laryngoscopy, and intubation. (golrizanteb.com)
The Macintosh 3 blade is commonly used for direct laryngoscopy;two other methods often used for endotracheal intubation are the Intubating Lighted Stylet or Lightwand (Trachlight®, Laerdal, Armonk, NY) and the GlideScope® (Saturn Biomedical Systems, Burnaby, BC, Canada). (golrizanteb.com)
Previous studies have evaluated direct Macintosh laryngoscopy, Bullard laryngoscope, bag-mask ventilation, fiberoptic-guided oral and nasal intubation, esophageal Combitube, Laryngeal Mask Airway, and Intubating Laryngeal Mask Airway with respect to C-spine movement during intubation (3-9). (golrizanteb.com)
The hypothesis was that endotracheal intubation using the Lightwand or GlideScope would result in reduced C-spine movement compared with direct Macintosh laryngoscopy, as determined by fluoroscopic video. (golrizanteb.com)
Background: Orotracheal intubation of infants using direct laryngoscopy can be challenging. (johnshopkins.edu)
We aimed to investigate whether video laryngoscopy with a standard blade done by anaesthesia clinicians improves the first-attempt success rate of orotracheal intubation and reduces the risk of complications when compared with direct laryngoscopy. (johnshopkins.edu)
One must assess whether the patient will pose: 1) difficult bag-mask ventilation, 2) difficult supraglottic/laryngeal mask airway placement, 3) difficult laryngoscopy, 4) difficult endotracheal intubation, or 5) difficult surgical airway. (theanesthesiaconsultant.com)
A. Plan A is direct laryngoscopy an intubation using a Miller or MacIntosh blade. (theanesthesiaconsultant.com)
This systematic review and meta-analysis aimed to determine whether a specific videolaryngoscopy technique is superior to standard direct laryngoscopy using a Macintosh blade to reduce the risk of difficult intubation in surgical and intensive care unit patients. (europeanreview.org)
VLSs reduced the risk of difficult intubation compared to direct Macintosh laryngoscopy (RR 0.48, 95% CI from 0.35 to 0.65). (europeanreview.org)
VLSs increased the rate of successful intubation at the first attempt when compared to direct Macintosh laryngoscopy (RR 1.03, 95% CI from 1.00 to 1.07). (europeanreview.org)
Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. (wikem.org)
First, microlaryngoscopy and bronchoscopy were performed followed by orotracheal intubation using a Phillips 1 blade and a 0 degree Hopkins rod. (csurgeries.com)
Education using a video system mounted into a traditional Macintosh blade improves intubation skills in medical students. (nih.gov)
We determined the association between bougie use and first-pass intubation success, adjusting for neuromuscular blockade, video laryngoscopy, abnormal airway anatomy, and whether the patient was placed in the sniffing position or the head was lifted off the bed during intubation. (qxmd.com)
It is a hand-held endoscopic instrument used during laryngoscopy and endotracheal intubation. (westwoodrock.com)
In these cases, standard endotracheal intubation using a Miller or a Mackintosh blade may prove challenging and even result in failure. (medscape.com)

The McCoy's blade gives better glottic visualization on laryngoscopy than other laryngoscopes. (ispub.com)
During the past five decades several authors have proposed many types of laryngoscopes such as the levering laryngoscope, obstetrical laryngoscope, mirror laryngoscope, left handed laryngoscope, and blades differing in length and shape. (ispub.com)
ANSWER -Macintosh (curved blade) -Miller (straight blade) -Retrograde -Video laryngoscopy -Optical laryngoscopes -Digital How do you treat a patient with gastric distention? (browsegrades.net)
The first generation of laryngoscopes have a straight (Miller) or a curved (Mackintosh) blade, which is adequate for performing routine laryngoscopy in a patient. (medscape.com)

Various methods such as use of angulated laryngoscope with prism, left molar technique of laryngoscopy using infant size blade, paraglossal straight blade laryngoscopy 1 were tried in the past. (ispub.com)
Apply and understand techniques of laryngoscopy including external laryngeal manipulation, head elevated positioning, and paraglossal straight blade technique. (ceme.org)

The balloon laryngoscope blade proved better than the Macintosh laryngoscope blade in glottic visualization. (ispub.com)
In balloon laryngoscopy, L1R2 group performed slightly better than R1L2 in glottic visualization. (ispub.com)
McCoy's blade was superior for glottic visualization followed by balloon laryngoscope blade pressure response was significant in all approaches of laryngoscopy. (ispub.com)
Direct laryngoscopy with a no. 3 Macintosh metal blade permit only visualization of Cormack 3 class. (airtraq.com)
Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes. (medscape.com)
The Bullard laryngoscope refined manipulation and visualization in the field of laryngoscopy. (medscape.com)

For a discussion of how to use a straight blade click here. (airwayjedi.com)

The left molar approach is a technique to improve the view at laryngoscopy using a standard macintosh laryngoscope. (resus.me)
Laryngoscopy technique usually involved lifting the epiglottis with the laryngoscope blade, rather than placing the tip in the vallecula. (thegasmanhandbook.co.uk)

Bullard laryngoscopy uses a rigid fiberoptic laryngoscope that was designed for use with patients who are difficult to intubate. (medscape.com)
Bullard laryngoscopy has distinct advantages in patients who are difficult to intubate, have limited or undesirable head and neck movements, have limited mouth openings, have facial fractures, or are morbidly obese. (medscape.com)
Bullard laryngoscopy causes less cervical spine movement than conventional laryngoscopy. (medscape.com)

They compared the Macintosh blade with optimal external laryngeal manipulation (OELM) 2 versus the McCoy's blade with lever activation and Balloon laryngoscope with Balloon inflation with 3 cc of air. (ispub.com)

Secondary objectives were procedure and laryngoscopy duration, handling time of the device and the number of attempts needed for inserting the catheter intratracheally. (bmj.com)
This procedure is called laryngoscopy . (dentalpoint.com.au)
Laryngoscopy is a procedure whereby the airway and the passage into the airway (the glottis) is visualized or exposed to provide a route for the administration of anesthetic gases, introduce an endotracheal tube for securing the airway, allow a detailed examination of the larynx and its structures, or perform minor endolaryngeal procedures (eg, obtaining tissue specimens for biopsy). (medscape.com)

In 1913, Chevalier Jackson was the first to report a high rate of success for the use of direct laryngoscopy as a means to intubate the trachea. (wikipedia.org)
There was no significant difference in time to intubate between the Lightwand and the Macintosh blade. (golrizanteb.com)

Describe laryngeal and upper airway anatomy including the structures about the laryngeal inlet, and the significance of these anatomic landmarks in terms of laryngoscopy, rescue ventilation, and surgical airway techniques. (ceme.org)

Moderate-curve Macintosh blade lifts the anatomy for a clear, direct view and tube path. (medtronic.com)
We assume a standard geometry laryngoscope is optimal for a patient with normal anatomy, whereas VL device with a hyperangulated blade is ideal for difficult airway situations with limited mouth opening or restricted neck movement. (biomedcentral.com)

Direct laryngoscopy depends on being able to bring the 3 axes of the airway into alignment to see the larynx. (airwayjedi.com)
Straight and curved blades use different techniques for bringing the larynx into view. (airwayjedi.com)
Laryngoscopy (/ˌlærɪŋˈɡɒskəpi/) is endoscopy of the larynx, a part of the throat. (wikipedia.org)
Avoid touching the arytenoids or vocal folds during laryngoscopy as this may induce laryngospasm or cause asymmetrical movements of the larynx. (vin.com)
The larynx is situated higher (more cephalad) making straight laryngoscope blades more useful than curved blades. (thegasmanhandbook.co.uk)

My modified Levitan stylet is more likely to succeed, less likely to produce trauma, faster to use, and easier to clean than conventional direct laryngoscopy devices. (clarus-medical.com)
The Shikani Optical Stylet is a wonderful alternative to traditional laryngoscopy. (clarus-medical.com)

Heart rate and systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were recorded immediately before, immediately after, and 1, 3 and 5min after laryngoscopy. (ac.ir)
No difference was found between McCoy laryngoscopy when done with or without fentanyl pretreatment (HR p =0.848, sys BP p =0.229 and diastolic blood pressure p =0.981). (jpgmonline.com)

The effect of laryngoscopy of different cervical spine immobilisation techniques. (wikem.org)

There was significant change in pulse rate, and systolic blood pressure in McCoy's laryngoscopy group as compared to other groups. (ispub.com)

Another display from Cardiff, Wales, stressed the interesting problem that various pediatric laryngoscope blades with the same names are actually of different shapes and give different views of the airway, some better than others. (apsf.org)

It looked very much like the current Miller blades used by paramedics today. (ems1.com)
Miller blade laryngoscopy provides effective procurement of the parturient airway. (ochsner.org)
It took us a decade to figure out that video was a transformational advance, but not hyperangulated geometry, which is a trade-off compared to conventional standard geometry (Macintosh or Miller) blades. (emupdates.com)

McCoy laryngoscope blade is less stressful and fentanyl pretreatment is not necessary to attenuate haemodynamic responses with its use in ASA I and II patients. (jpgmonline.com)

In 12 videos, the anaesthesia team at CHRU Montpellier will share their experience and learnings from switching to routine use of video laryngoscopy across the hospital. (medtronic.com)

The super-slim blade profile improves access and reduces dental contact. (medtronic.com)
Interpretation: Among anaesthetised infants, using video laryngoscopy with a standard blade improves the first-attempt success rate and reduces complications. (johnshopkins.edu)

citation needed] Indirect laryngoscopy is performed whenever the provider visualizes the patient's vocal cords by a means other than obtaining a direct line of sight (e.g. a mirror). (wikipedia.org)
The aim of the project was to compare the performance of 4 Macintosh-VL both in direct and indirect laryngoscopy. (medtronic.com)

10) compared quality of laryngeal view using the GlideScope versus the Macintosh blade, with in-line stabilization provided, but C-spine movement was not assessed. (golrizanteb.com)

Video assistance should be used when available, and it is particularly useful when anatomic factors make direct laryngoscopy difficult and/or when injuries preclude the head and neck movement required for proper positioning. (msdmanuals.com)

HA blades produce an excellent view of the glottis almost every time with very little practice, and can get good views when SG blades can't. (emupdates.com)

video (putting a camera at the end of the blade and projecting the image onto a screen), and hyperangulated geometry (blades with a much steeper curve that are designed not to move the tongue out of the way, but to advance around the tongue). (emupdates.com)
The hyperangulated blade geometries of videolaryngoscopes provided a better visibility in difficult airways than the standard geometry of the Macintosh-type blade. (biomedcentral.com)

Waiting until you have the epiglottis in sight allows you to tweak the position of the blade with small, precise movements. (airwayjedi.com)
A second attempt was performed using video laryngoscopy in which the epiglottis was identified with a small potential glottic opening seen in the upper left hand of the screen. (fsahq.org)
On fifth attempt, the FOB with the glidescope blade to assist in guiding the scope and it was still unable to pass beyond the epiglottis. (fsahq.org)
This retraction of the epiglottis is facilitated by laryngoscopy with the help of the blade of the laryngoscope. (medscape.com)

A rigid laryngoscope with a long blade and good light source is required. (vin.com)

For direct laryngoscopy (DL) we used a Macintosh laryngoscope, whereas for videolaryngoscopy (VL) we used the cMac, the dBlade, and a King Vision videolaryngoscope. (biomedcentral.com)

The surprisingly affordable system and blades make the McGRATH™ MAC video laryngoscope as accessible as your conventional laryngoscope, with the flexibility of video laryngoscopy. (medtronic.com)

In addition, VLSs did not significantly reduce the risk of hypoxia compared with direct laryngoscopy (RR 0.83, 95% CI from 0.60 to 1.16). (europeanreview.org)

Materials & Methods: In this clinical trial that is performed in 2013, 90 candidates of elective surgery in Gonobad City, Iran hospitals were randomly divided to three groups control (no drugs were used), intravenous lidocaine (three minutes before laryngoscopy) and lidocaine 10% (just before laryngoscopy). (ac.ir)

Findings: Between June 4, 2018, and Aug 19, 2019, 564 infants were randomly assigned: 282 (50%) to video laryngoscopy and 282 (50%) to direct laryngoscopy. (johnshopkins.edu)
274 infants in the video laryngoscopy group and 278 infants in the direct laryngoscopy group were included in the mITT analysis. (johnshopkins.edu)
PeDI Collaborative Investigators 2020, ' First-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial ', The Lancet , vol. 396, no. 10266, pp. 1905-1913. (johnshopkins.edu)

Curved blades are commonly used, especially by beginners because they are more forgiving of less than optimal placement and provide more room to pass the tube. (airwayjedi.com)

Surgical exposure was achieved using suspension laryngoscopy with the Lindholm laryngoscope and the 0 degree Hopkins rod. (csurgeries.com)

Effectively use laryngoscopy adjuncts including tube stylets and introducers, as well as understanding the fundamentals of laryngoscopy blade design and selection. (ceme.org)

ANCHOR=],[LINK=]) , ([FOOTNOTE=Hall D, Steel A, Heij R, Eley A, Young P. Video laryngoscopy increases 'mouth-to-mouth' distance compared with direct laryngoscopy. (medtronic.com)

Laryngoscopy was carried out using a Macintosh no.3 (15 patients) or 4 (15 patients) or McCoy's no. 3 (15 patients) or No. 4 (15 patients) or Balloon laryngoscope (R1L2) no. 3 (15 patients) or 4 (15 patients) or Balloon laryngoscope (L1R2) no. 3 (15 patients) or 4 (15 patients). (ispub.com)
Because repeated laryngoscopies could increase intracranial and arterial blood pressure through sympathetic stimulation, we excluded patients with poor physical condition, hypertension, Ischemic heart disease, raised intracranial tension and respiratory distress. (ispub.com)
Thirty-six healthy patients were randomized to participate in a crossover trial of either Lightwand or GlideScope to Macintosh laryngoscopy, with in-line stabilization. (golrizanteb.com)
We randomly assigned patients (1:1) to video laryngoscopy or direct laryngoscopy using random permuted blocks of size 2, 4, and 6, and stratified by site and clinician role. (johnshopkins.edu)

I have found the SOS useful not only for potentially difficult airways, but also as a less stimulating alternative to traditional laryngoscopy. (clarus-medical.com)
SGVL uses blades that move the tongue out of the way, allowing the operator to look in the mouth and perform DL (usually more difficult), or look at the screen and perform VL. (emupdates.com)
ANSWER -Anticipated difficult laryngoscopy -Locked jaw (trismus) What are signs of a misplaced ET tube? (browsegrades.net)

Use small precise movement to place the blade tip. (airwayjedi.com)
These intubating techniques can be performed rapidly and safely and could involve less C-spine movement than direct Macintosh laryngoscopy. (golrizanteb.com)
This prospective, randomized, controlled, crossover trial compared C-spine movement during use of the GlideScope or Lightwand versus direct laryngoscopy with the Macintosh 3 blade. (golrizanteb.com)

Head extension Angle and Laryngoscope Blade Levering Motion Angle were also measured with the help of Goniometer. (ispub.com)

The McGRATH™ MAC video laryngoscope is a device that combines the benefits of both direct laryngoscopy (DL) and video laryngoscopy (VL). (medtronic.com)
The McGRATH™ MAC video laryngoscope combines the power of video with the familiarity of direct laryngoscopy. (medtronic.com)

Jackson introduced a new laryngoscope blade that had a light source at the distal tip, rather than the proximal light source used by Kirstein. (wikipedia.org)

Information about the success rates in unexperienced users of videolaryngoscopy compared to conventional laryngoscopy is sparse. (biomedcentral.com)

Increases first-attempt success when compared to direct laryngoscopy, ([FOOTNOTE=Kriege M, Alflen C, Tzanova l, et al. (medtronic.com)

Anatomy11

Diseases19

Chemicals and Drugs7

Analytical, Diagnostic and Therapeutic Techniques and Equipment14

Phenomena and Processes1

Disciplines and Occupations3

Technology, Industry, Agriculture2

Information Science2

Intubation43

Laryngoscopes4

Paraglossal straight blade2

Visualization6

Straight blade1

Technique2

Bullard3

External laryngeal manipulation1

Procedure3

Intubate2

Airway anatomy1

Anatomy2

Larynx5

Stylet2

Diastolic blood pr2

Cervical1

Systolic1

Laryngoscope blades1

Miller3

McCoy1

Anaesthesia1

Improves2

Indirect2

Laryngeal View1

Anatomic1

Glottis1

Geometry2

Epiglottis4

Rigid1

Videolaryngoscope1

Conventional laryngoscope1

Hypoxia1

Methods1

Infants3

Commonly1

Surgical1

Stylets1

Compared with direct1

Patients4

Difficult3

Movement3

Motion1

McGRATH2

Distal tip1

Videolaryngoscopy1

Increases1