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Головна Статьи Трудная интубация и портативный видеоларингоскоп

Difficult intubation and portable videolaryngoscope

Securing the airway the most important phase of cardiopulmonary resuscitation.

The first and very important step in CPRis to ensure the airway. In the event of critical conditions requiring emergency treatment initially, anesthesiologist, paramedic, doctors, ambulance crews assess the condition visually, by using monitors, sensors, etc. If there is depression or any other respiratory disorder, starting with to maintain patency of the airway. Initially removed from the oral and nasal cavities foreign bodies, mucus, vomit, etc. (if any), if then breathing disorders remain, proceed to intubation of the trachea, the konikotomia, tracheotomy (depending on situation).

Conicotomy can be made in any conditions and with the use of available funds (if you have the skills and knowledge of the anatomy of the person conducting the manipulation), in order to maintain patency in the absence of endotracheal tube and tracheotomy tube , you can use normal ballpoint pen, a teapot spout any hollow tube, which can be found in the vicinity.

A tracheotomy may be performed only by a surgeon who is skilled at surgery and throat section (General surgeon, anesthesiologist, otolaryngologist). But in this article I would like to pay more attention - tracheal intubation; moreover, I would like to tell you about indispensable when difficult intubation, such as video laryngoscope
On the website fiskltd.com widely represented portable icheskoe-oborudovanie/?ms|vendor=1404">a video laryngoscope. Their purpose is different, videolaryngoscopy can be applied to the readjustment of the tracheal tree, various surgical manipulations, such as removal of the aspirate, foreign bodies, for diagnostics in medicine, but most important, ensure the preservation of human life, is the use of videolaryngoscopy for trachea intubation, the more relevant application of videolaryngoscope is when a physician anesthesiologist, paramedic, etc. is faced with difficult tracheal intubation.
Difficult intubation, the actual problem of intensive therapy and therapy of urgent conditions in medicine.

The doctor may assume the risk of difficult intubation, visually, through evaluation of the patient on a scale Mаllampati Sheshagiri Rao (test Mallampati),

but sometimes a practitioner is faced with a situation where the test Mallampati do not seem to portend trouble, and intubation is difficult. This is particularly dangerous in hospitals as pregnant women and new mothers are extremely vulnerable to hypoxia and instantly suffering the fetus, which can lead to fetal death. In the operating room and in the presence of that very important time, as the account goes for seconds, intubation can be carried out in the presence of the endoscopist and unsuccessful attempts at intubation to carry out intubation using endoscope.

But what to do if You are not operating? If the hospital have an endoscopy? If not -oborudovanie-i-tools/intubacionnyj-fibroskop-fi-7bs;-fi-7rbs.html">intubation of an endoscope in the endoscopy Department? And the use of stylets, guides and laryngeal masks didn't help either... Also a very urgent situation when the anesthesiologist does not have courses and certificate endoscopist, in this case, the anesthesiologist is forbidden to hold the intubation with the help of fibroadenoma or videonoverosana, you only need to draw endoscopist. And what to do, especially if a difficult intubation endoscopist occupied or equipment to be disinfected? All this can be planned during routine operations and interventions, and in emergency situations, the delay may cost the patient's life. What to do in this situation? One answer is to apply a portable videolaryngoscope.
The advantage of portable of videolaryngoscope that its use anesthesiologists or paramedic license is not necessary, as it is a normal laryngoscope with blades of different sizes, but additionally it has a screen and the anesthesiologist can clearly see the glottis, the anatomy of the oral cavity, trachea, larynx, could display the image on the screen and to record screen on the computer monitor. That is, the doctor PRintubation and clearly see all the changes on the way and clearly sees the glottis, the entrance to the esophagus, etc.
The emergence of portable video laryngoscope with a set of blades is Grand in solving the problem of difficult intubation, an assistant anaesthesiologist and intensive care doctor. The entire range of the video laryngoscope are presented on the website of "FISK". Equipment and models of various, may be the laryngoscope is made of high quality plastic with a set of blades in the case, it may be all metal with metal blades, or plastic nozzles on the blade.

 

By visiting our site every doctor will be able to choose and buy the laryngoscope to meet his professional needs!