Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-28T17:30:14.098Z Has data issue: false hasContentIssue false

Chapter 15 - Tracheal intubation: rigid indirect laryngoscopy

from Section 2 - Clinical

Published online by Cambridge University Press:  10 January 2011

By
Ankie E.W. Hamaekers  and
Pieter A.J. Borg
Edited by
Ian Calder  and
Adrian Pearce
Ian Calder
Affiliation:
National Hospital for Neurology and Royal London Hospital
Adrian Pearce
Affiliation:
Guy's and St Thomas' Hospital, London
Get access

Summary

Rigid indirect laryngoscopy (RIL) can overcome some of the problems inherent to direct laryngoscopy and intubation using a flexible bronchoscope, but it has its own drawbacks. There is no ideal intubation device. This chapter discusses the design and technical features of rigid indirect laryngoscopes. No classification of equipment has yet been generally accepted, and a simple scheme is discussed: optical stylets, bladed indirect laryngoscopes, and tube-guiding indirect laryngoscopes. RILs allow visually controlled TT placement and visual confirmation of the tube passing between the vocal cords. RILs eliminate the need to align the axes of the upper airway and in general require less force to achieve a good view of the laryngeal inlet compared to DL. The built-in optics and electronics usually allow viewing of the image by multiple spectators and also allow documentation of successful intubation. The market for RILs is fast-moving.

Keywords

airway difficultyairway obstructionanaesthesiatracheal tubeQuick look laryngoscopyobstructed sleep apnoea syndrome
Type
Chapter
Information
Core Topics in Airway Management , pp. 144 - 150
Publisher: Cambridge University Press
Print publication year: 2010

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.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org 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
×