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Laryngoscope and ETT Guidelines

The laryngoscope has a handle and interchangeable blades for intubating patients of different ages and sizes. The Miller blade is for small children while the Macintosh blade is curved for adults. The endotracheal tube size varies based on age and gender. Placement depth is measured at the vocal cords or slightly below. Additional airway devices include oral and nasal airways to maintain a patent airway.

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Kay Bristol
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129 views8 pages

Laryngoscope and ETT Guidelines

The laryngoscope has a handle and interchangeable blades for intubating patients of different ages and sizes. The Miller blade is for small children while the Macintosh blade is curved for adults. The endotracheal tube size varies based on age and gender. Placement depth is measured at the vocal cords or slightly below. Additional airway devices include oral and nasal airways to maintain a patent airway.

Uploaded by

Kay Bristol
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Laryngoscope

1. Handle and blade

- Hold in left hand.


- Bar on top of handle faces you
- C of blade locks into bar and
faces you
- Slide in lock in place and it
lights up
2. Blade type

Miller (small children) Macintosh (adults)

Straight Curved

3. ETT

4. ETT : Internal diameter

Male: ID 8.0 mms . Female : ID 7.5 mms

New born - 3 months : ID 3.0 mms

3-9 months : ID 3.5 mms

9-18 months : ID 4.0 mms

2- 6 yrs : ID = (Age/3) + 3.5

> 6 yrs : ID = (Age/4) + 4.5


5. Parts

Markings denote the length of the tube

Murphy’s eye – prevents ETT from


abuting into tracheal wall

Connector – to connect to a breathing circuit. Made of PVC plastic

Black line – denotes where vocal cors should be once ETT is inserted

A: Z-79
B: Disposible (Do not reuse)
C: Oral/ Nasal
D: Radiopaque marker

Stylet

6. Depth of intubation

Depth of endotracheal tube : Midtrachea or below vocal cord ~ 2 cms

Adult -> Male = 23 cms ,Female = 21 cms

Children

Oral endotracheal tube = (Age/2) + 12 (cm)

Nasal endotracheal tube = (Age/2) + 15 (cm)

7. Double lumen
8. Other airways: Oropharyngeal; Nasopharyngeal

Oral airway
Nasal airway
Flexion at lower cervical spine; Extension at atlanto-occipital joint

Cricoid pressure
Secure

[Link]

OSCE review

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