Laryngeal Intubation Analysis
INTRODUCTION
Orotracheal intubation is the commonest method to secure the airway during general anaesthesia. Direct laryngoscopy is used to facilitate orotracheal intubation and requires alignment of the oral, pharyngeal and laryngeal axes to achieve a straight line of sight for visualization of larynx.1
Video laryngoscopes have been introduced into clinical practice over last decade with the purpose of improving laryngeal visualization to facilitate intubation. Video laryngoscopes have a video chip embedded in the tip of the blade, which transmits magnified images to a display screen where they can then be viewed or recorded. Alignment of the oral, pharyngeal and laryngeal axes for a line-of-sight is not essential.2 This enables the operator
…show more content…
An intubation difficulty score (IDS) of greater than 2 was not observed in any patient. Group-T had significantly lower mean IDS compared to group-M, thus suggesting easier intubation with the Truview evo2 laryngoscope. On analysis of our results we found that this difference in IDS between the two groups was attributed to mainly two parameters out of the total seven i.e. N4 and N5 which are CL grade and lifting force respectively. Better glottic exposure was observed and lesser lifting force was required during laryngoscopy and intubation with the Truview evo2 laryngoscope than the Macintosh laryngoscope. The unique optical system of Truview evo2 blade with a 460 refraction angle could have contributed to the lesser lifting force required during laryngoscopy, as it provides an “indirect view” of larynx without requiring the alignment of oral, pharyngeal and laryngeal …show more content…
Firstly, the longer learning curve for using Truview evo2 laryngoscope would have added to the mean time to intubation using this device. Although the laryngoscopist had performed 20 intubations using Truview evo2 before the start of the study and 10 pilot cases were also conducted, but the overall experience with Macintosh laryngoscope was much more. Hence it is possible that performing larger number of pilot cases or including a larger sample size would give better results. Secondly, the study included patients with a normal airway, so results cannot be extrapolated to patients with a difficult airway, for which further studies are required. Thirdly, the study was not blinded as blinding the laryngoscopist was not practically
Kelly Malone Case Summary
242 Words | 1 PagesJustin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Nt1310 Unit 3 Experimental Studies
506 Words | 3 PagesThe video fluoroscopic assessment was given to 30 volunteers. Each participant was studied sitting down. Different lateral images of the mouth, pharynx and proximal esophagus were taken. The different oral movements have been observed and timed such as the tongue tip movement, hyoid movement, onset and offset of the esophageal sphincter. The results were based on the rate of given bolus seen on the images from the videoflouroscopy.
Impaired Gas Exchange Case Study
1218 Words | 5 PagesWhile auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C
Teach Purse-Lipped Breathing To Patient
448 Words | 2 PagesTeach the patient to that the exhaling of air is twice the length of time compared to
HPC Code Of Ethics: What Is Sibert´s Anaesthetic Phase?
1831 Words | 8 PagesWhen Sibert was not responding the anaesthetist then allowed a slow inhalation of Isoflurane to be delivered to patient through the face mask. When the patient was fully anaesthetised the author assisted the anaesthetist to secure the airway by passing size 4 Laryngoscope and size 8 endotracheal tube (ETT). The ETT was cuffed and tightly secured. Sibert was then transferred to the operating table and monitoring continued. Anaesthesia was maintained with O2, Isoflurane, and N2O on spontaneous ventilation with closed circuit.
Annette Nursing Case
1676 Words | 7 PagesAnnette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).
Rapid Consequence Intubation (RSI)
644 Words | 3 PagesPretreatment medications in RSI are meant to mitigate effects of intubation and RSI. Atropine is typically used in pediatric patients to decrease the vagal response caused by use of the laryngoscope blade
Opioid Case Study
1301 Words | 6 PagesThere are many sedation scales which will vary depending on the hospital, some include the Ramsey Sedation Scale, Motor Activity Assessment Scale, Sedation-Agitation Scale, Richmond Agitation and Sedation Scale, The Hartwig Scale, and more. These scales measure factors such as level of agitation, levels of arousability, quality of responses, and drowsiness. Technological monitoring techniques to use as support include continuous pulse oximetry and capnography, which can both be effective for unattended advancing sedation and respiratory depression, (Jarzyna et al.1,
Septoplasty Research Paper
1262 Words | 6 PagesSeptoplasty Septoplasty, a surgical procedure done to straighten the septum (cartilage through the middle of the nose) in a nose, is a procedure done by an Otolaryngologist (ear, nose, and throat doctor) for both medical and physical appearance reasons. For medical reasons, Septoplasty is done on patients with a deviated or crooked septum to open their nasal canals for better olfaction (smell) and ultimately an enhancement in respiration (breathing). This procedure is oftentimes a successful procedure for patients; however, there are potential, negative effects that patients should be aware of before braving this procedure. Septoplasty is a surgical procedure that results in potential, negative effects in patients including bruising, inflammation,
A Career As An Anesthesiologist Assistant
681 Words | 3 PagesAfter observing these providers, I became increasingly intrigued by the profession. After a lot of research into this profession and shadowing multiple anesthetists, I knew I had found my calling. During my time at the Children’s Hospital, I learned that the Anesthesiologist Assistant is a skilled medical professional who works as part of the anesthesia care team in the operating room and receives direction from an Anesthesiologist. They have an extensive amount of training in the induction and maintenance of different anesthetics and also advanced monitoring techniques that allow them to keep the patient safe throughout the procedure. They are skilled providers who have training in inserting invasive catheters used for monitoring patient’s vitals, trained in advanced airway and life support techniques, and prepare an anesthetic plan with the licensed Anesthesiologist.
Evidence Based Practice History
1879 Words | 8 PagesThe secondary evaluation was an analysis according to the route of intravenous verses topical administration. If the data in regards to laryngeal spasm had a classification of severity, they only included data was only that of severe laryngospasm. Each of the random controlled trials evaluated were assessed for risk of bias as described by the Cochrane Handbook for Systematic Reviews of Interventions.
Alarm Fatigue
939 Words | 4 PagesTechnological advancements have brought efficiency and effectiveness of all aspects of human life. In the health care sector, physiological activities can be effectively carried out by the patient’s bedside through use of modernized equipment’s. The machines function through production of specific sound and in case conditions deviate from the normal range, they consequently and automatically vary the type of sound produced calling for urgent attention from doctors. The alarms have been proven to be of paramount importance in the health sector, however, they have been giving rise to alarm fatigue. This is a condition where sensory stimulus becomes overloaded amounting to sensory desensitization a condition which can make the attendant’s to
Awake Extubation Case Study
717 Words | 3 PagesAn open airway was established within minute which confirmed the anaesthetist suspected diagnosis that the patient had a severe laryngospasm and the anaesthetic effect relaxed the patient’s vocal cords. ( REF algorithm of Laryngospasm)DAS Laryngospasm is a condition where vocal cord suddenly seized up. It is defined as an acute glottis closure by the vocal cord (Oxford Handbook of Anaesthesia, 2006,). There is the closure of the vocal cord when taking a breath from irritation, blocking the flow of air into the lungs.
Rotator Stuff Repair Case Study
1144 Words | 5 PagesGowns Gloves Anesthesia 3 lead EKG Pulse oximeter BP cuff 6 Liters Oxygen given through a mask to the airway Versed 2 mg-anti anxiety 100-150 mcg Fentanyl-pain and for intubation 80 mg lidocaine- pain of versed in IV 200 mg propofol- puts patient to sleep 50 mg rocuronium- paralyze patient for intubation, specifically vocal cords 4 mg Zofran-anti nausea 8 mg Decadron- anti nausea 2g Cefazolin- antibiotic broad spectrum preventative lactated ringers IV infusion for hydration Desflurane for anesthetic gas to stay
Vascular Lesions Case Study
764 Words | 4 PagesDue to morbid nature of surgery, patient was referred to Intervention Radiology department for management by serial sessions of sclerotherapy. Patient was taken up for sclerotherapy after upfront tracheostomy and Ryle’s tube insertion done as a precautionary measure to overcome anticipated post procedure airway and pharyngeal compromise. Under Ultrasound guidance using 22G scalp vein needle set, direct puncture of vascular spaces was done. After confirmation of free back flow of blood, Sodium tetradecyl sulphate mixed with low osmolar non ionic iodinated contrast
More about Laryngeal Intubation Analysis
Kelly Malone Case Summary
242 Words | 1 PagesNt1310 Unit 3 Experimental Studies
506 Words | 3 PagesImpaired Gas Exchange Case Study
1218 Words | 5 PagesTeach Purse-Lipped Breathing To Patient
448 Words | 2 PagesHPC Code Of Ethics: What Is Sibert´s Anaesthetic Phase?
1831 Words | 8 PagesAnnette Nursing Case
1676 Words | 7 PagesRapid Consequence Intubation (RSI)
644 Words | 3 PagesOpioid Case Study
1301 Words | 6 PagesSeptoplasty Research Paper
1262 Words | 6 PagesA Career As An Anesthesiologist Assistant
681 Words | 3 PagesEvidence Based Practice History
1879 Words | 8 PagesAlarm Fatigue
939 Words | 4 PagesAwake Extubation Case Study
717 Words | 3 PagesRotator Stuff Repair Case Study
1144 Words | 5 PagesVascular Lesions Case Study
764 Words | 4 Pages