Tips for Using a Hyperangulated Video Laryngoscope
An easy maneuver, which can be done gradually by the operator with no assistance, is turning the GlideRite stylet and tube 90 degrees to the right after insertion through the cords (see Figures 4 and 5). The operator should use an overhand grip at the top of the stylet and tube. After insertion through the cords, the tube and stylet are turned rightward, to the corner of the patient’s mouth, while making sure the tip is through the larynx. The thumb is then used to slide the tube off the stylet in a series of gradual advancements. By turning the stylet and tube, the tube now points downward, overcoming the inclination problem. Turning 90 degrees also rotates the bevel of the tube upward, which prevents the tube tip from catching on the corrugation of the tracheal rings.
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Explore This IssueACEP Now: Vol 34 – No 12 – December 2015
Try the overhand turn and make sure to watch for Kovacs’ sign on your next use of a hyperangulated video laryngoscope. These are simple tips that will improve your practice!
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About the Author
Richard M. Levitan, MD, FACEP, is an adjunct professor of emergency medicine at Dartmouth’s Geisel School of Medicine in Hanover, N.H., and a visiting professor of emergency medicine at the University of Maryland in Baltimore. He works clinically at a critical care access hospital in rural New Hampshire and teaches cadaveric and fiber-optic airway courses.