Name: ACA- Hung 4e- Tracheal Intubation Using the Airtraq® Laryngoscope

Description: ACA- Hung 4e- Tracheal Intubation Using the Airtraq® Laryngoscope

Thumbnail URL: https://cadmoremediastorage.blob.core.windows.net/9b5a61f0-41d8-4049-b15d-df621ab32ea3/videoscrubberimages/Scrubber_1.jpg?sv=2019-02-02&sr=c&sig=fh8vHxeP0WBow1yboBN2KG5Q%2BS%2B12VECshrV6FfOun8%3D&st=2025-01-03T02%3A03%3A14Z&se=2025-01-03T06%3A08%3A14Z&sp=r

Duration: T00H03M41S

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Content URL: https://cadmoreoriginalmedia.blob.core.windows.net/9b5a61f0-41d8-4049-b15d-df621ab32ea3/Tracheal Intubation Using the Airtraq Laryngoscope.mov?sv=2019-02-02&sr=c&sig=fGyhvlHFK3GRc%2BboP2Vj64QABCfE9%2Fms%2ByXGdDzxtdM%3D&st=2025-01-03T02%3A03%3A14Z&se=2025-01-03T04%3A08%3A14Z&sp=r

Upload Date: 2023-11-24T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .

Segment:1 Device.
The Airtraq is a single-use anatomically-shaped battery-powered device. It has two channels-- one that conveys the image by means of mirrors and prisms to a fog-resistant lens and viewer. The other directs the endotracheal tube. The optical viewer can be coupled to an optional camera and either connected by wire to a standard video monitor or wirelessly to a dedicated receiver.
The Airtraq is available in seven different configurations suitable for both adult and pediatric oral intubations. The endotracheal tube should be checked and the cuff completely deflated. In addition, the tube should be well lubricated before inserting into the channel of the air track. The endotracheal tube should be placed so that the tip would not be protruding outside the channel.
The light source of the air track should also be checked prior to use. Due to the presence of the fog-resistant lens, anti-fogging preparation is not necessary for the Airtraq.
Segment:2 Technique.
It is preferable to place the head and neck of the patient in neutral position prior to intubation. As shown in this video, the Airtraq is introduced into the center of the mouth and maintained in a sagittal position at all times.
The blade is then rotated around the base of the tongue. The tip of the blade is preferentially introduced into the vallecula, but if the epiglottis obstructs the view, it can be elevated directly by the blade. Like other channel devices, the tracheal tube advancement is determined by the laryngoscope and cannot be manipulated independently. Thus, it is important to advance the endotracheal tube slowly and adjust the air track to optimize endotracheal tube delivery.
After intubation, the air track laryngoscope should be removed from the patient by forward rotation of the scope out of the patient's mouth. Correct tracheal tube placement should be confirmed by both the presence of end-tidal CO2 and auscultation.
Segment:3 Trouble Shooting.
Like many of the rigid fiber optic scopes, secretions and difficulty directing or advancing the endotracheal tube through the vocal folds are the major obstacles to successful intubation when using the air track.
Secretions can be dealt with using suction prior to intubation. Elevation of the epiglottis can frequently be further assisted by performing a jaw thrust or pulling the tongue forward. A jaw lift will often elevate the epiglottis and create additional working space between the epiglottis and the posterior pharyngeal wall.
Segment:4 Summary.
Because of the anatomically-shaped design, the Airtraq laryngoscope provides a good view of the glottis in situations where a conventional laryngoscope cannot.
However, careful preparation of the patient and the device are necessary in order to have a successful intubation. In addition, familiarity with the technique should be obtained in patients with relatively normal airways so that competence is acquired before using the device in patients with a difficult airway.

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