6) Alternative Devices

McCoy blade is good to use with patients who have…

limited neck mobility, c-spine precautions

the tip of the McCoy blade gets placed in the…

vallecula or beneath epiglottis

the McCoy blade features a ________ that provides improved visualization without maneuvering the handle

levering tip

the polio blade is used when…

anteroposterior diameter of chest doesn’t allow use of regular blade and handle

the polio blade was originally used to intubate while patient was in…

iron lung

straight blades are commonly used in what patient population?

pediatrics

what’s unique about the Wisconsin blade?

entirely straight

what kind of blade is this?

wisconsin

Wis-Hipple blade was designed for use in ________ because the ________ and ________ are straighter

infants, vertical step, flange

what kind of blade is this?

wis-hipple

what kind of blade is this?

phillips

how is a Phillips blade shaped?

straight with curved tip

rigid fiberoptic laryngoscopes are used for patients with…

limited mouth opening or neck movement

the 3 parts of a bullard laryngoscope

fiberoptic bundle, viewing channel, workign channel

a bullard laryngoscope can be used with a mouth opening as little as…

6mm

what rigid fiberoptic laryngoscope was found to have no advantages over direct laryngoscopy?

upsherscope

the WuScope is a fiberoptic laryngoscope that was designed to facilitate intubation without the need for…

head extension

what’s the advantages of using video laryngoscopy?

improved view of laryngeal inlet

good teaching tool

less cervical motion C2-C5

short setup time

can be used in awake technique

the distal angle of glidescope

60 degrees

glidescope must have its own…

stylet

with glidescope, enter the mouth at…

midline

what is this?

upsherscope

what’s this?

wuscope

what’s this?

bullard laryngoscope

what is this?

glidescope

the McGrath video laryngoscope has ____ length settings

3

insert the McGrath ________ and place tip in the ________

midline, vallecula

what’s this?

mcgrath

airtraq is a ________ optical laryngoscope with a ________

disposable, magnifying wide angle

what’s a major benefit of the airtraq

portability

regular airtraq ETT size and color

7.0-8.5, blue

small airtraq ETT size and color

6.0-7.5, green

pediatric airtraq ETT size and color

4.0-5.5, purple

infant airtraq ETT size and color

2.5-3.5, grey

what’s this?

airtraq

when using a rigid fiberoptic scope, use a __________ to elevate the epiglottis

jaw lift

before rigid fiberoptic scope use, administer _________ and apply ________

anti-sialagogue, antifogging spray

a fiberoptic stylet has a ________ bend at the distal end

35 degree

fiberoptic stylet allows for less ________ than other methods

c-spine movement

what 2 techniques can you use with the fiberoptic stylet

shikani and levitan

what are complications that can arise from the stylet?

submucosal dissection

lacerations

hemorrhage

hematoma

tracheal perforation

airway catheters are used as…

guides to pass an ETT

eschmann (gum elastic bougie) is particularly helpful when…

glottic opening is not clearly visualized

how does the frova intubating introducer differ from the eschmann?

frova has 2 side ports and hollow lumen for ventilation

aintree intubation catheter was designed for use with ________ to facilitate intubation through the ________ LMA

fiberoptic bronchoscope, classic or ambu

why does the aintree intubation catheter have a larger internal diameter (4.8mm)?

can be threaded onto a 4mm fiberoptic laryngoscope

aintree intubation catheter can be used with what size ETT?

7.0 or larger

what are the rapi-fit connectors used for with the aintree intubation catheter?

ventilation

cook airway exchange catheter has…

side ports and open lumen

cook airway exchange catheter is inserted through…

ETT prior to extubation

when to use airway exchange catheters?

ventilation during surgical treatment of tracheal stenosis

when going from LMA to ETT

in combo with retrograde wire

how do light wands facilitate intubation?

well defined glow below the thyroid prominence indicates ETT in the glottic opening

3 parts of a trachlight

handle, flexible wand, stiff retractable stylet

when was the trachlight introduced?

1995

what’s the benefit of a trachlight?

ETT can be threaded on

what are the disadvantages of using trachlight?

can’t use with patients who have abnormalities or foreign objects in the upper airway

could cause more trauma to epiglottis and arytenoids

advantages of trachlight

can be used with nasal rae tubes

easy to use

high success with difficult intubations

amount of salvia doesn’t matter

good for small mouth openings

minimizes movement of c-spine