Difference between revisions of "Laryngoscopy"

(Procedure)
(Procedure)
 
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==Overview==
 
==Overview==
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*Direct visualization of the larynx for diagnostic or therapeutic purposes
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*Typically performed with [[Direct laryngoscopy|direct]], [[Video laryngoscopy|video]] or [[Awake intubation|fiberoptic laryngoscopy]]
  
 
==Indications==
 
==Indications==
Dysphagia
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*[[Dysphagia]]
Odynophagia (pain on swallowing)
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*[[Odynophagia]] (pain on swallowing)
Hoarseness
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*[[dysphonia|Hoarseness]]
FB ingestion
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*[[Esophageal Foreign Body|Foreign ingestion]]
Sensation in throat
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*Sensation in throat
Angioedema
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*[[Angioedema]]
Assessment of airway
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*Assessment of airway
Be careful when impending airway compromise because cause swelling but can be done with airway team present
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**Be careful when impending [[The difficult airway|airway compromise]]
  
 
==Contraindications==
 
==Contraindications==
  
 
==Equipment Needed==
 
==Equipment Needed==
Flexible laryngoscopy
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*Flexible laryngoscopy
Decongestant:
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*Decongestant:
oxymetazolin (afrin) 0.05%
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**[[Oxymetazoline]] (afrin) 0.05%
.1-1% phenylephrine
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**0.1-1% [[phenylephrine]]
Anesthetic
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*Anesthetic
Lidocaine 4%
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**[[Lidocaine]] 4%
Cocaine 5% works as both
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**[[Cocaine]] 5% works as both
  
==Procedure==
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==Procedure<ref>Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition</ref>==
Attach light n suction
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*Attach light and suction
Fogging
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*Fogging
Warm end in warm water to prevent fogging
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*Warm end in warm water to prevent fogging
Ask patient swallow
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*Ask patient to swallow
If can't go through nares, go through mouth
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*If cannot go through nares, go through mouth
 +
 
 +
==Tips==
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*[[Mirror laryngoscopy]]
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*Minimize gag by asking patient to keep eyes open and focus on breathing
  
 
==Complications==
 
==Complications==
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*[[Laryngospasm]] if paraglottic infections
  
 
==See Also==
 
==See Also==
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{{Related Difficult Airway Pages}}
  
 
==External Links==
 
==External Links==
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==References==
 
==References==
 
<references/>
 
<references/>
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*Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition
  
 
[[Category:Procedures]]
 
[[Category:Procedures]]
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[[Category:ENT]]

Latest revision as of 20:25, 9 March 2021

Overview

Indications

Contraindications

Equipment Needed

Procedure[1]

  • Attach light and suction
  • Fogging
  • Warm end in warm water to prevent fogging
  • Ask patient to swallow
  • If cannot go through nares, go through mouth

Tips

Complications

See Also

Airway Pages

External Links

References

  1. Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition
  • Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition