Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T13:17:09.826Z Has data issue: false hasContentIssue false

Chapter 14 - Tracheal Intubation: Direct Laryngoscopy

from Section 1 - Airway Management: Background and Techniques

Published online by Cambridge University Press:  03 October 2020

Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
Get access

Summary

Direct laryngoscopy should be preceded by airway assessment and discussing rescue strategies with assisting staff. The initial plan and rescue techniques should be based on an understanding of normal airway anatomy and its variants. This chapter uses the two curve theory and the three column model to describe and functionally classify both the normal and difficult airways. This classification then provides the operator with an understanding of the various causes of difficult airways and how they are related to each other and airway morphology (two curve theory). These two concepts form the basis for the decision process to performing direct laryngoscopy and choosing the right laryngoscope blade for the job. Endobronchial intubation is discussed in detail.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Greenland, KB (2008). A proposed model for direct laryngoscopy and tracheal intubation. Anaesthesia, 63, 156161.CrossRefGoogle ScholarPubMed
Greenland, KB (2010). Airway assessment based on a three column model of direct laryngoscopy. Anaesthesia and Intensive Care, 38, 1419.Google Scholar
Greenland, KB. (2012). Reappraisal of adult airway management. In: Riley, R (Ed.), Australasian Anaesthesia 2011. Melbourne: Australian and New Zealand College of Anaesthetists. pp. 5765.Google Scholar
Levitan, RM, Heitz, JW, Sweeney, M, Cooper, RM. (2011). The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices. Annals of Emergency Medicine, 57, 240247.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×