Procedure 35 — Treatment: Video Laryngoscope

What is the clinical indication for using the video laryngoscope?

For utilization when intubating a patient.

What two stylet types can be used with the video laryngoscope?

A stylet or rigid stylet.

What device does the manufacturer not recommend using compared to a stylet with the video laryngoscope?

A bougie.

How is the video laryngoscope powered on and off?

By a single push of the power button.

Where is the battery life of the video laryngoscope displayed?

The bottom right corner of the screen.

What indicates the video laryngoscope battery needs to be switched out?

The battery icon flashes when five minutes of battery life remain.

What happens to the video laryngoscope screen after 15 seconds of inactivity?

It dims to save power.

What happens to the video laryngoscope after three minutes of inactivity?

It turns off.

What confirms the video laryngoscope blade is correctly fitted?

The blade clip is firmly latched to the device.

How is blade size chosen for the video laryngoscope?

The same way as choosing a regular MAC blade, by holding it against the patient's lower jaw and measuring against the projected location of the vallecula.

What are the four available McGRATH MAC blade sizes for the video laryngoscope?

Sizes 1, 2, 3, and 4.

How is the blade removed from the video laryngoscope after intubation?

Lift the clip, pull the blade off, and dispose of it in the trash.

Into which side of the mouth is the video laryngoscope blade initially inserted?

The right side.

What is done to the tongue while inserting the video laryngoscope blade?

Sweep it to the left while moving to a central position.

Where is the tip of the video laryngoscope blade advanced?

Into the vallecula.

What structure is visualized on the screen after advancing the blade into the vallecula?

The epiglottis.

How is the anatomy lifted to expose the glottis during video laryngoscope use?

Forwards and upwards.

Where should the glottis appear on the screen when the video laryngoscope is in the proper position?

The central upper section of the screen.

How should the ET tube be advanced through the vocal cords using the video laryngoscope?

Gently and atraumatically.

From which side of the display does the ET tube enter when the video laryngoscope is in optimal placement?

The right side.

What can the screen view be used to confirm during video laryngoscope-assisted intubation?

The correct insertion depth of the tube.

What resource should be referenced for further video laryngoscope instructions?

The owner's manual in the case.

What provider levels can use the video laryngoscope?

EMT-A and EMT-P.