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Direct Laryngoscopy Overview

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himanshi.sharma02468
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4 views27 pages

Direct Laryngoscopy Overview

Uploaded by

himanshi.sharma02468
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

MEDICAL INSTRUMENTS

LIST
■ ENDOTRACHEAL TUBE
■ AIR WAY
■ LARYNGOSCOPE
■ NASOGASTRIC TUBE
■ FOLEYs CATHETER
ENDOTRACHEAL TUBE
PARTS
INDICATIONS
Protection of airway (from contamination-gastric content/blood)
Removal of secretions
Mechanical ventilation
Cardio pulmonary resuscitation
During general anesthesia

CONTRAINDICATIONS
Cervical spine fracture, facial trauma, head trauma, epistaxis, neck
hematoma
 Equipments: stylet, connector, syringe
 Size: approx. Male 23 cm length, 8 mm diameter
 Female 21cm length, 7mm diameter
 Cuff pressure-20cm H2O
 Distal end-4cm above carina
 [Link]
 FEATURES
 It is a curved instrument,

 Parts: flange, body, tip, channel

 These are available in all sizes

 INDICATIONS

■ Use to keep airway patent in unconscious patients, by stopping tongue from covering
epiglottis

 Contraindication: conscious patient, intact gag reflex, nasal#


 [Link]
 FEATURES
 It is a metallic instrument used for visualization larynx and vocal cords
 Main body handle
 Blade
 Blades are made of curved steel and have blunt distal end
 USES:
 To perform direct laryngoscopy

 To intubate the patient with ETT

 To clean the upper respiratory tract for removal of blood or secretions


NASOGASTRIC TUBE
 PVC tube, radio-opaque line
 [nare to nasal sinus-5-7cm, pharynx-12-14cm,
esophagus-25cm, stomach-25cm]
 55cm should be inserted
 Indication:
 decompress stomach (distal obstruction)
 Intractable nausea/emesis
 Medication/nutrition

 Contraindication:
 Facial trauma, esophageal trauma
 Relative: anti coagulation
FEEDING

• In unconscious patient
• Dysphagia-stricture, tumor, bulbar palsy
• CONTRAINDICATIONS
• Corrosive poisoning

• COMPLICATIONS
• Stricture esophagus
 [Link]
FOLEY
CATHETER
FOLEY CATHETER
 FEATURES
1. Soft tube of latex
2. Has a rounded tip and two holes
3. proximal to the tip
4. The size is measured in french unit
5. Proximal end may have two or three channels in two or three way
catheter respectively
INDICATIONS

 Acute retention of urine


 Chronic retention of urine with overflow
 In cases of neurogenic bladder
 In surgery involving bladder and prostrate
 In all perineal operations
 In management of incomplete rupture of urethra
 Intra vesical chemotherapy
 To carry out urethrography
 To monitor urine output
 Bladder irrigation
CONTRAINDICATIONS
 Blood at meatus
 Acute urethritis
 Hematuria
 Urethral pain
 Patient refusal

COMPLICATIONS
Blockade Catheter
Leak
Bacteriuria

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