Airway Cam Portal
info@airwaycam.com 877-EPIGLOTTIS
Video Library
Home About Airway Cam Dr. Richard Levitan FAQs calendar Links Contact Us
 
Practical Solutions for Emergency Airways
Learn about Anatomy, Imaging & Techniques Training Resources, Mannequins & Courses Buy Your Equipment Here
 
Learn Menu
Laryngeal Anatomy
Laryngeal Pathology
Emergency Airway Management
Laryngoscopy Equipment
Intubation

Endotracheal Tube Designs

Tube Mechanics ---Tip Interaction with Trachea Rings

 

Laryngeal Exposure Tube Delivery

Laryngoscopy

Glidescope

AirTraq

Other Right Angled Imaging Devices

 

Techniques for Oral Intubation
Techniques for Nasal Intubation
search
 
Techniques for Nasal Intubation

Laryngeal Exposure Tube Delivery Glidescope

Glidescope

glideRite stylet tubeUsing the Glidescope as an intubation technique requires maneuvering around the curvature of the tongue and hypopharynx, in a path similar to that created by the curve of the Glidescope blade. A tube and stylet of 70-90 degrees, however, cannot be rotated around the tongue and passed into the trachea. This severe a bend angle hits the anterior trachea at too steep an angle to advance. The tip of the tube catches on the first and second tracheal rings and will not pass.

 

Endotracheal tube placement with the Glidescope is best done as a two-step process. The tip of the tube should be inserted into the larynx only, then the stylet partially withdrawn, before the tube is fully advanced.

 

It is very important that operators directly observe insertion of the tracheal tube and stylet into the mouth and around the tongue. If the operator only watches the video screen, there is a potential for damaging the hypopharynx (and perforating the airway) on initial tube insertion. Once the tube and stylet are brought around the base of the tongue, the tube tip will be visible on the monitor, and the tip can be inserted into the larynx. The stylet is partially withdrawn at this point. The distal end of the tracheal tube, now without the stiffening stylet, can then be advanced fully into the trachea. Sometimes, it will be helpful to rotate the tracheal tube toward the patient’s right side as it is advanced (clockwise). This is because clockwise rotation of a left-facing beveled tube will turn the bevel upward, disengaging the leading edge of the tube from the anterior tracheal rings. Although the tube delivery issues can be overcome using standard equipment, the manufacturer now produces a custom designed stylet (The GlideRite Stylet) and also has special tracheal tubes (made by Parker Medical, the GlideRite Tube) that eliminate the difficulties that can occur using standard stylets and left-facing beveled tubes.

 

218The GlideRite Stylet is a rigid stainless steel stylet with a large plastic proximal stop.  It fits tracheal tubes 6.0 mm and larger and can be autoclaved 250 times. The proximal stop allows for partial withdrawal of the stylet with a single hand technique.  With the Glidescope in the operator’s left hand, and the tracheal tube and underlying GlideRite stylet grasped at the proximal part of the tube, the thumb can push the stylet partially out from the tube (after the larynx is entered).  An assistant (or the operator if they release the Glidescope blade) can then advance the tube fully into the trachea (and rotate the stylet out).


The GlideRite Tube is manufactured by Parker Medical for Verathon.  It uses Parker’s innovative ski-tip design.  This tip does not engage the anterior tracheal rings as a standard level-facing beveled tube does.  The soft tip of the Parker tube glides over the tracheal rings and eliminates the need for turning the tube rightward (clockwise) to rotate the bevel upward. 

 

Click here for more information on how left-facing beveled tubes interact with the tracheal rings

 

Bookmark and Share
 

Privacy | Terms & Conditions | Sitemap | STORE

 

DISCLAIMER:  The procedures discussed at this website, to be performed properly, rely on complex medical skills and should only be undertaken after formal instruction and hands-on clinical training with appropriate supervision, and after receiving professional certification and authorization to do so. The content presented herein is meant to serve as just one of many resources that trainees and health care professionals should consult in the course of the their skill acquisition and ongoing practice. Airway Cam Technologies, Inc., its authors, officers, agents and assigns, disclaim any and all responsibility for any adverse outcomes and or harmful acts committed by others persons who may have consulted this website or relied on information contained herein.

 

HomeAbout Airway CamDr. Richard LevitanFAQsCalendarLinksContact UsLEARN: Laryngeal AnatomyLaryngeal PathologyEmergency Airway ManagementLaryngoscopy/Intubation EquipmentTracheal Tube Design and DeliveryTechniques for Oral IntubationTechniques for Nasal IntubationSearch
TRAIN: Overall Approach to Airway TrainingTeaching AnatomyPracticing Mechanics of IntubationAirway Course in a BoxCustomized Airway CoursesAirway Training Course CalendarAirway Cam Videos Airway Cam & Other BooksOn-line Airway TrainingEQUIP: AirwayCam Books and DVDsTrucorp MannequinsEmergency Airway Kits
Rescue Intubation DevicesRescue Ventilation DevicesLaryngoscopesTubes-Stylets-BougiesAccessoriesVision Enhancement

 

AirwayCam.com has been optimized by the Philadelphia SEO Company Zamolution