Laryngoscopy: Difference between revisions

(Text replacement - "Cocaine " to "Cocaine")
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*[[Odynophagia]] (pain on swallowing)
*[[Odynophagia]] (pain on swallowing)
*Hoarseness
*Hoarseness
*[[FB ingestion]]
*[[Esophageal Foreign Body|Foreign ingestion]]
*Sensation in throat
*Sensation in throat
*[[Angioedema]]
*[[Angioedema]]
*Assessment of airway
*Assessment of airway
*Be careful when impending airway compromise
**Be careful when impending airway compromise


==Contraindications==
==Contraindications==
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*Flexible laryngoscopy
*Flexible laryngoscopy
*Decongestant:
*Decongestant:
**[[Oxymetazolin]] (afrin) 0.05%
**[[Oxymetazoline]] (afrin) 0.05%
**.1-1% [[phenylephrine]]
**0.1-1% [[phenylephrine]]
*Anesthetic
*Anesthetic
**[[Lidocaine]] 4%
**[[Lidocaine]] 4%
**Cocaine 5% works as both
**[[Cocaine]]5% works as both


==Procedure==
==Procedure==
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*Warm end in warm water to prevent fogging
*Warm end in warm water to prevent fogging
*Ask patient swallow
*Ask patient swallow
*If can't go through nares, go through mouth
*If cannot go through nares, go through mouth


==Tips==
==Tips==
*Mirror laryngoscopy
*[[Mirror laryngoscopy]]
*Minimize gag by pts eyes open n focus on breathing
*Minimize gag by asking patient to keep eyes open and focus on breathing


==Complications==
==Complications==

Revision as of 10:20, 10 March 2017

Overview

Direct visualization of the larynx for diagnostic or therapeutic purposes

Indications

Contraindications

Equipment Needed

Procedure

  • Attach light and suction
  • Fogging
  • Warm end in warm water to prevent fogging
  • Ask patient swallow
  • If cannot go through nares, go through mouth

Tips

Complications

  • laryngospasm if paraglottic infections

See Also

External Links

References

  • Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition