Difference between revisions of "Laryngoscopy"

(Equipment Needed)
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==Overview==
 
==Overview==
Direct visualization of the larynx for diagnostic or therapeutic purposes
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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]]
 
*[[Dysphagia]]
 
*[[Odynophagia]] (pain on swallowing)
 
*[[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
 
*Sensation in throat
 
*[[Angioedema]]
 
*[[Angioedema]]
 
*Assessment of airway
 
*Assessment of airway
**Be careful when impending airway compromise
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**Be careful when impending [[The difficult airway|airway compromise]]
  
 
==Contraindications==
 
==Contraindications==
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*Flexible laryngoscopy
 
*Flexible laryngoscopy
 
*Decongestant:
 
*Decongestant:
**[[Oxymetazolin]] (afrin) 0.05%
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**[[Oxymetazoline]] (afrin) 0.05%
 
**0.1-1% [[phenylephrine]]
 
**0.1-1% [[phenylephrine]]
 
*Anesthetic
 
*Anesthetic
 
**[[Lidocaine]] 4%
 
**[[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 and suction
 
*Attach light and suction
 
*Fogging
 
*Fogging
 
*Warm end in warm water to prevent fogging
 
*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==
 
==Tips==
*Mirror laryngoscopy
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*[[Mirror laryngoscopy]]
*Minimize gag by pts eyes open n focus on breathing
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*Minimize gag by asking patient to keep eyes open and focus on breathing
  
 
==Complications==
 
==Complications==
*laryngospasm if paraglottic infections
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*[[Laryngospasm]] if paraglottic infections
  
 
==See Also==
 
==See Also==
 +
{{Related Difficult Airway Pages}}
  
 
==External Links==
 
==External Links==
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[[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