Contributions- Discussions- Questions
Unexpected Difficult Intubation. Things to do? An unusual approach Combined Use of the MacIntosh Laryngoscope and a Flexible Bronchoscope in Cormak- L ehane III-IV laryngoscopies .
Glidescope and C MAC solve the problem of unexpected difficult intubation ?
The Bonfils bronchoscope is a tool designed for difficult intubation but solves the problem?
The difficult ventilation with face mask in normal upper airway anatomy is real or is related to the pharmacological sequence of anesthesia induction ?
Utilities and drawbacks of the tracheal tube introducers .
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Juan F GutierrezMazorra MD, FAAP Istitution e State Pediatric Anesthesia Associates PC Birmingham AL Stati Uniti
Excellent presentation .
Una lección Magnifica, Muchas Gracias
Jasmine Kerr • **As my Linked In profile states I work for Karl Storz**
Thank you for sharing this article. I have heard of injuries that have resulted from blind ETT insertion using a video laryngoscope, however, not all video laryngoscopes (VL's) are the same and not all VL's carry the same risk.
Increased field of view is a factor that helps reduce blind spots in VL's. A wider field of view allows visualization of the ETT earlier. The C-MAC provides an 80 degree field of view vs. competitive devices that are in the 45 degree range.
Additionally, visualization of the tip of the video laryngoscope blade helps to increase patient safely. The tip of the C-MAC blade is always visible so you can control blade placement in the anatomy.
Have you ever tried the approach outlined above with a C-MAC instead of a direct macintosh blade? The C-MAC blades come in standard Macintosh and Miller blade shapes (Miller 0-1, Mac 2-4).
I recently saw a case with a Cormack-Lehane grade IV and serious facial deformities where they successfully intubated the patient using a flexible intubation scope and a Mac 2 C-MAC blade. With the addition of the video monitor, it was easy to outsource suction and both the flexible intubation scope operator and C-MAC video laryngoscope operator had improved visualization during the entire procedure.
Grazie dottore! (Who say's a semester abroad in Italy was a waste of money? I am finally putting my limited knowledge of the Italian language to use! Haha)
dr nasir ali baloch • thanks sir for information difficult intubation.......
bijan ebrahimi • I have practiced awake intubation with regional block , and I found it great at some situations , like ambulatory surgery , as an alternative . In cases which I visualized the airway anatomy as impossible to be done , then I go to do it with soft bronchoscopy with good sedation + regional block , and I get a good result .