1 including the light on 2 sniffing position, the laryngoscope and elevate the bed so the cuff on the that the patients endotracheal tube. head is at the level of the lower part Ensure that suction and of your sternum, difficult airway devices and preoxygenate. are within reach.
Hold laryngoscope Push the tongue to
3 with your left hand. 4 the left side of the Open patients mouth mouth, slowly with your right hand advance the blade, and introduce the and progressively laryngoscope into the identify the base of right side of the the tongue, the patients mouth. epiglottis, and the posterior cartilages.
Place the Macintosh Lift in the direction
5 blade in the vallecula, 6 of the laryngoscope E or the Miller blade handle. under the epiglottis (E), and visualize the vocal Manipulate the cords (VC) and thyroid cartilage to arytenoid cartilages (A). achieve optimal laryngeal exposure. VC Do not take your eyes Have an assistant off of the cords once maintain that they are identified! position during A intubation.
Instruct an assistant Under direct
7 to retract the right 8 visualization, pass cheek for better the tube 34 cm visualization. Pass beyond the vocal the tube on the cords. right side of the patients mouth. Do not allow the tube to obstruct your view of the vocal cords during advancement!
Remove the stylet Confirm proper
9 and inflate the 10 placement with pilot balloon. end-tidal CO2 detection, ausculation, and a chest radiograph.