The skills intubating and ventilating a patient using diferent techniques and quipment are outlined in this chapter. In Special procedures you can read and learn about single lung ventilation, jet ventilation, retrograde intubation and tracheostomi.
Ovassapian, Klock, Randel, Klafta et all showed in 2002 that lingual tonsil hyperplasia (LTH) probably accounts for more UNANTICIPATED failures with direct laryngoscopy (DL). In this case LTH is seen with a video laryngoscope (VL) and there is no problem. It is unknown if DL would have been problematic in this patientWatch
This video shows a close-up look of two phases of laryngospasm. The patient presents with a nasal laryngeal mass and will undergo contra lateral side nasal tracheal intubation using a flexible intubation scope and a video laryngoscope to create an image space in the pharynxWatch
Demonstration of the new UEscope video laryngoscope. The video shows a routine laryngoscopy recording using the UEscope.Watch
A large male who suffered cardiac arrest was intubated at home. His tracheal tube could not be advanced and was found to be herniated about the vocal cords. The tracheal tube was replaced with a Glideright tube in the operating room using an Airway Exchange Catheter.Watch
This video shows how the combination of video laryngoscopy together with a flexible intubation scope can be helpful in a difficult airway situation. The anesthesiologist use a video laryngoscope to create space for the flexible intubation scope.Watch
It is not uncommon for the novice anesthesiologist to place the laryngoscope too deeply into the airway so the critical anatomy is bypassed. In this video you can see Richard Levitan's Epiglotoscopy.Watch
A pre-op endoscopy by the ENT surgeon shows what appears to be a fixed mass on the pharyngeal/hypopharygeal wall. It turns out this mass is very mobile and leads to laryngeal obstruction. The King Vision Video Laryngoscope are used to intubate the patient.Watch
At the end of surgery, a patient with a NIMs tube in place will remain intubated. The anesthesia team is asked to "change the tube out". The NIMs is exchanged for a standard ETT using a 19Fr Airway Exchange catheter.Watch
This video presents a patient with carcinoma in his masseter muscle causing trismus. His maximum interincisor gab is 2 cm. He is successfully intubated with King Vision channel blade.Watch
This video demonstrates double lumen tube intubation using King Vision video laryngoscope.Watch
The KingVision videolaryngoscope is a new, highly portable video laryngoscope. Its high resolution LCD screen is housed on the handle . Each blade contains a new CMOS camera. It is used for intubation in the patient under general anesthesia. Here we present a case where the KingVision is used in an awake intubation.Watch
This video from Fibroanesthesia.com present a real patient case, with an intra-thoracic goiter which produces an extrinsic tracheal compression. The King Vision non channel-blade is used to get a view of the glottic opening, then the Ambu aScope 3 is used to control passage of the ET tube through the narrowest part of the trachea.Watch
This video from Airway On Demand shows how to intubate two patients using the new Ambu aBlade both standard and channeled versions.Watch
The King Vision is a new video laryngoscope configured with either a standard blade or a channeled blade. This video shows the intubation procedure utilizing both types of video laryngoscope blades.Watch
The use of KingVision both Channeled and Standard blade in a bloody airway in a patient with base-of-tongue cancer. His past treatment included surgery and radiation.Watch
Tracheal intubation with the King Vision standard blade in a difficult airway patient. The patient has an inhalation induction done and is now under general anesthesia, fairly easy to ventilate by face mask.Watch
If your patient has massive tonsils, video laryngoscopy might not be the optimal solution. Watch this video where flexible laryngoscopy is used instead.Watch
This video shows a case where Clarus Video System (CVS) is used in an awake patient. The patient presents with recurrence of tongue cancer and with significant cervical spine disease.Watch
The Clarus Video System is a optical stylet type intubation device. In this video the CVS is used through an Ovassapian intubating airway.Watch
The Pentax Airway Scope (AWS) is a channel type indirect vision intubation device. In this video, the common problem of arytenoid entrapment is seen and corrected with a modest withdrawal and leftward rotation of the blade.Watch
In an elective case, a fiberscope is used to facilitate tracheal intubation with a Pentax Airway Scope. This is just one example of how various sophisticated airway devices can be combined. By practicing these techniques the clinician will be more competent in non-elective and truly difficult intubation cases.Watch
This video demonstrates how to intubate using a McGrath Mac video laryngoscope.Watch
Video laryngoscopy (VL) is being widely accepted as superior for tracheal intubation. But new technologies will often have new sets of complications. Recently, soft tissue injury occurring in the "blind spot" between the oral cavity and the visual field of the VL has been described. Shown in this video is a technique to avoid these injuries by keeping the tracheal tube in the visual field at all times. This is an unproven technique.Watch
This video demonstrates the use of the Airtraq - a single use, channel style laryngoscope.Watch
This video demonstrates the steps of Rapid Sequence Induction (RSI) followed by tracheal intubation using a video laryngoscope.Watch
The Clarus Video System is a stylet-like intubation device with a malleable shaft. Though it can be used as a free-standing intubation device, it may also be used as a adjunct to difficult laryngoscopy as is illustrated in this video.Watch
This video shows the Pentax video laryngoscope used for intubation.Watch
This video demonstrates tracheal intubation with King Vision channeled blade.Watch
This video shows an intubation performed using a combined technique with Pentax and aScope.Watch
This video demonstrates a nasal intubation using Glidescope.Watch
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