Inspection of Upper Airway Using a Laryngoscope

Question 1

Indications

Answer 1

• Altered conscious
• No gag reflex
• Requires inspection of airway

Question 2

Precautions

Answer 2

• Epiglottitis

- Croup

Question 3

Components of Laryngoscopy

Answer 3

1. Position patient
   - head approx 2-5 cm off ground, towel or pillow under occiput
2. Prepare equipment
   - Check laryngoscope (bulb secure, functioning, tight)
   - Place alongside left of patient’s head
   - Place suction equipment on the right of the patients head
3. Prepare patient
   - Elevate pt head
   - Moderate extension of head and jaw
   - neutral or sniffing position to improve direct visualisation of the larynx
4. Insert Laryngoscope
   - Right had supporting and steadying patients head
   - Pick up and hold laryngoscope lightly by the handle with the left hand, thumb along handle
   - Gently insert laryngoscope blade down extreme right side of mouth
5. Inspect upper airway
   - check for foreign body in oropharynx
   - suck it out if you find one
6. Sight vocal chords
   - move blade in keeping tongue to the left
   - tip of blade in vallecular groove
   - No angulation
7. Check
   - visually inspect airway down to vocal chords where possible ensuring no foreign body present