Tor Erlend Pedersen
Hi! Thanks for the video about an unknown, yet very interesting method of intubation! As an anesthesia resident I would love to add this technique to my armamentarium. I've practiced a bit on an airway mankind, but my success rate isn't exactly 100%. The problem is with how to bend the tube with my fingertips, I just can't get a proper grip on the tube. Could you elaborate a little on your technique, or possibly post a video detailing this?
回复 MadroneHouse
Thanks Tor. First let me say that the mannequin is generally more difficult to properly intubate than a live patient, or a cadaver. The first thing that I do is to place my intubating hand into the patient's mouth, palpate the anatomy, and position my two fingers (index and middle) properly, behind the epiglottis and as far down along it as I can reach, pulling it forward at the same time. Then my free hand inserts the tube and pushes it over the tongue until the tube contacts my fingers. ->
Tor Erlend Pedersen
Do you feed the tube into the larynx with your fingertips or do you just use them to direct the tube while you feed it from above using your left hand? Do you use one or both fingers? Do you use the tube or fingers to keep the epiglottis anterior? Thanks a lot! Tor P
回复 MadroneHouse
I pass the tube so that the cuff is at my fingertips and the tube tip is just a little past them. I then triangulate the tube with my two fingers behind it and the posterior epiglottis serving as the anterior post of the triangle. From there, about 50% of the drive of the tube is provided by my two shuffling fingers in the mouth. You don't really need to 'grip' the tube per se - by resting it against the post. epiglottis to stabilize the position the fingers can bend to provide angle. |
[复制链接]
|关于我们|业务合作|手机版|新青年麻醉论坛
( 浙ICP备19050841号-1 )
发表于 2013-7-12 06:55:14
QQ好友和群
收藏
淘帖
鲜花
鸡蛋
提升卡
置顶卡
变色卡
发表于 2013-7-12 08:30:37
楼主
