5 tips and tricks for intubation with the video laryngoscope
Dr Jim DuCanto, an anaesthetist and a trainer in airways management (S.A.L.A.D. technique), provides tips for performing endotracheal intubation with the HEINE visionPRO video laryngoscope. Even minor adjustments in approach make a difference. Here are some techniques that can make intubation easier in specific situations.
#1 Opening the mouth with a tongue-blade holder for better control of the tongue
This technique can simplify endotracheal intubation, particularly in patients with an enlarged tongue (for various reasons). A tongue-blade holder is used instead of the often used ‘scissor’ technique, which does not sufficiently secure the tongue at the bottom of the mouth.
#2 Precisely positioning a video laryngoscope with two hands
In this intubation technique, Dr DuCanto uses both hands for maximum fine-tuning and control. One hand holds the laryngoscope, while the other grips the flange of the blade to ensure precise insertion and correct positioning of the blade.
#3 Rotation technique for the endotracheal tube
Sometimes, inserting the endotracheal tube using a bougie can be difficult, as it may catch on the laryngeal cartilage. Using the ET tube rotation technique supports successful intubation in such cases.
#4 Intubation with a pre-prepared bougie
This alternative technique involves preloading the ET tube onto the bougie in advance, which can make intubation without assistance easier or save crucial seconds in an emergency. A ‘loop’ is formed for compact handling.
#5 What should you do if the camera is contaminated?
If bodily fluids suddenly obstruct the camera view, there are two ways of rapidly resolving this unexpected situation with the visionPRO video laryngoscope: either switch to direct laryngoscopy or rapidly replace the single-use blade with a new one.
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Disclaimer:
Intubation is a complex medical procedure that must be performed by trained medical professionals with the necessary expertise. The method and procedure shown may vary depending on the specific video laryngoscope and the individual needs of the patient. Always follow the relevant user manual and your establishment’s protocols and guidelines for intubation procedures.