Who loves the Glidescope?
Started by Laurel123
I havent tried it awake yet, but I was wondering about this also. In theory it shouldnt be any different than the ENTs doing DLs in the office. In fact it should be less stimulating.
Did they stop teaching awake direct laryngoscopy in residency?
Advertisement - Members don't see this ad
No but have you tried the glidescope?
It really makes our job look waaaaayyyyyyy too easy.
If you can do an awake look then you can use the glidescope for an awake intubation.
C
CremeSickle
Did an awake glidescope the other day for a guy who was a post gastric bypass coming back for a (SUPRISE!) revision. Anyway, it went very well and while i had the FOI there it was not needed.
You know, Im finishing up this year and no one has brought it up yet. Maybe I'll suggest it next time the situation presents. Do you prep any differently than an awake FBO, i.e. lots of topical/sedation?
Awesome. Please, walk me through the prep and the drugs you used. I am eager to give it a try.
3 videos from the website of the scope in use for those who have not used it -- like myself.👍
http://www.verathon.com/glidescope_index.htm
http://www.verathon.com/glidescope_index.htm
We have the Glidescope and we use it fairly often, it's a very easy to learn tool (a CRNA tool as you said) 🙂
My point was: if you know how to do awake direct laryngoscopy you should know how to do awake glidescope.
Advertisement - Members don't see this ad
You prep the same way, you just make sure that you pay extra attention to anesthetizing the oral cavity and the oro-pharynx. A transtracheal block is very helpful, and you can use LTA directly on the cords when you see them.
You also need to be slick and gentle and don't try to use a Miller blade for this, this is one of the few situations where a Macintosh blade is really superior.
If you can do this you can do an awake glidescope which is actually less traumatic, the only problem with awake glidescope is that the tube frequently gets stuck on the arytenoids or the moving cords so it might be better to use a bougie to introduce the tube.
Agreed! The one time I've not been able to pass an ETT with the Glidescope, I was kicking myself afterward for not grabbing a bougie, which would have been a snap.
Another time that the Mac is superior is in cervical fx's b/c it takes much less sniffing position to see the cords and also in double lumen tube placement. Just thought i'd add that.
Carry on.
Agree on both.
Only had one attending who taught it. He used it in cases where he thought there might be difficulty. He figured if you could see the epiglottis with an awake look, you'd be able to see what you needed when they were asleep. I've never applied this myself.
Otherwise no one mentioned awake DL to me.
