Verathon GlideScope - PROCEDURE 5. INTUBATE USING THE GLIDESOCPE DIRECT

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PROCEdURE 5. INTUBATE USING THE GLIdESCOPE dIRECT
If the GlideScope Direct is powered on for an extended period of time, it is possible for the
surface temperature to exceed 41°C (106°F) at the tip of the blade, where the lighting and
camera are located.
WARNING
Before every use, ensure the instrument is operating correctly and has no sign of damage. Do
not use this product if the device appears damaged. Always ensure that alternative airway
management methods and equipment are readily available.
Report any suspected defects to Verathon
®
Customer Care. For contact information, visit
verathon.com/support.
WARNING
The following techniques are recommended for use of the GlideScope Direct intubation trainer. Ensure that
the GlideScope Direct has been properly cleaned and high‑level disinfected prior to use.
OptiOn 1. RiGHt‑SiDED AppROACH
This option details the use of a right‑sided approach to the mouth, pharynx, and glottis.
1. The patient is optimally positioned with either extension of the neck or a “classic sniffing position.”
2. The mouth is opened, and efforts are made to minimize contact with the lips and teeth. The GlideScope
Direct is introduced along the right side of the tongue, which is displaced leftward.
3. The GlideScope Direct is advanced along the tongue base until the epiglottis is seen. The GlideScope
Direct tip is placed in the vallecula, lifting the epiglottis by tension on the hyoepiglottic ligament.
4. A direct line‑of‑sight to the glottis may be achieved by elevation of the epiglottis. The operator can view
this directly, and the instructor can observe the progress on the video monitor.
5. The use of a stylet is optional. The operator attempts to introduce the endotracheal tube through the
vocal cords.
OptiOn 2. MiDLinE AppROACH
This option details the use of a midline approach to the mouth, pharynx, and glottis.
1. The patient is optimally positioned with either extension of the neck or a “classic sniffing position.”
2. Using the GlideScope Direct, the operator then enters the midline of the mouth, attempting to see
directly to the epiglottis (guide to the glottis) and then the GlideScope Direct tip is placed in the vallecula,
lifting the epiglottis by tension on the hyoepiglottic ligament.
3. The operator now attempts to gain a line‑of‑sight of the glottis, and the instructor observes the progress
on the video monitor.
4. Where necessary, the operator may also observe the video view.