Outpatient Surgery Magazine - Subscribers

Shopping for Surgery - June 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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increases the severity of airway edema and bleeding, and decreases the chance of success, even with more specialized methods. The most reliable predictor of a difficult intu- bation is the patient's history. If a previous anes- thetic record is available, review it. Focus physi- cal exams on anatomic anomalies involving the head, face or neck. Check the size and mobility of the mandible. A small, malformed or immo- bile mandible is the most reliable physical pre- dictor of a difficult intubation. Look for anatom- ic features that cause distortion of the airway. Ask about symptoms of obstructed airways, like snoring. Be sure to have all necessary airway equipment in the OR, including anything that might be needed for 2 nd , 3 rd and even 4 th options. Different-sized laryngoscope blades and endotracheal tubes (cuffed and uncuffed) should be within easy reach. If you know a child is likely to be difficult to intubate, it's a good idea to secure IV access while the child is still awake, if possible. Indirect techniques Indirect techniques include video laryn- goscopy, intubating LMA, optical stylet, light- ed stylet and the flexible fiberoptic broncho- scope. The choice largely depends on your experience and preference, but it may also be 5 1 J U N E 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T www.Clarus-Medical.com Admin@Clarus-Medical.com 763-525-8450 Confidence for Every Intubation NEW! Smart Phone Endoscope Adapter! Experience the Versatility of Malleable Stylets View Videos at Clarus-Medical.com w.C n@C a us ed ca co 525-8450 Exp alle larus-Medical.com @Clarus-Medical.com perience the Versatility of eable Stylets

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