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Anatomical parts seen during laryngoscopy. Direct laryngoscopy is carried out (usually) with the patient lying on their back; the laryngoscope is inserted into the mouth on the right side and flipped to the left to trap and move the tongue out of the line of sight, and, depending on the type of blade used, inserted either anterior or posterior to the epiglottis and then lifted with an upwards ...
used in direct laryngoscopy; video link: Jobson Horne's probe with ring curette: to access or clean the external ear: Tuning forks: for various clinical tests of hearing loss; vibration sense test Pritchard's politzerization apparatus: video link: Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear
Furthermore, blood and vomitus in the airway may prove visualization of the vocal cords difficult rendering direct and video laryngoscopy, as well as fiberoptic bronchoscopy challenging. [46] Establishment of a surgical airway is challenging in the setting of restricted neck extension (such as in a c-collar ), laryngotracheal disruption, or ...
Bronchoscopy is the most effective method to diagnose, locate, and determine the severity of TBI, [6] [10] and it is usually the only method that allows a definitive diagnosis. [23] Diagnosis with a flexible bronchoscope, which allows the injury to be visualized directly, is the fastest and most reliable technique. [8]
In 1913, Chevalier Jackson was the first to report a high rate of success for the use of direct laryngoscopy as a means to intubate the trachea. [121] Jackson introduced a new laryngoscope blade that incorporated a component that the operator could slide out to allow room for passage of an endotracheal tube or bronchoscope. [122]
Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument ( bronchoscope ) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy .
The physician will ask some questions about the baby's health problems and may recommend a flexible laryngoscopy to further evaluate the infant's condition. [3] Additional testing can be done to confirm the diagnoses including; flexible fiberoptic laryngoscopy, airway fluoroscopy, direct laryngoscopy and bronchoscopy. [4]
Limitations of video laryngoscopy exist and prevent the exclusive use of this method over direct laryngoscopy. Excessive blood and saliva in the airway can cover the camera lens on the video laryngoscope and obscure effective visualization of the anatomy, preventing effective intubation attempts.