Laryngoscopy: Difference between revisions
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*Flexible laryngoscopy | *Flexible laryngoscopy | ||
*Decongestant: | *Decongestant: | ||
**[[ | **[[Oxymetazoline]] (afrin) 0.05% | ||
**0.1-1% [[phenylephrine]] | **0.1-1% [[phenylephrine]] | ||
*Anesthetic | *Anesthetic |
Revision as of 05:13, 3 August 2016
Overview
Direct visualization of the larynx for diagnostic or therapeutic purposes
Indications
- Dysphagia
- Odynophagia (pain on swallowing)
- Hoarseness
- Foreign ingestion
- Sensation in throat
- Angioedema
- Assessment of airway
- Be careful when impending airway compromise
Contraindications
Equipment Needed
- Flexible laryngoscopy
- Decongestant:
- Oxymetazoline (afrin) 0.05%
- 0.1-1% phenylephrine
- Anesthetic
- Lidocaine 4%
- Cocaine 5% works as both
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
- Mirror laryngoscopy
- Minimize gag by asking patient to keep eyes open and focus on breathing
Complications
- laryngospasm if paraglottic infections
See Also
External Links
References
- Roberts and Hedges' Clinical Precedures in Emergency Medicine, 6th edition