How To Take Care Of Laryngoscope Patients

Increasingly, professionals who work in emergency services require the use of aggressive techniques. Among these, the management of the airway is the one that has the greatest interest and repercussion. Endotracheal intubation requires certain knowledge and manual expertise to achieve success and achieve survival of patients suffering from cardio-respiratory arrest or the clinical connotations involved if patients cannot be intubated.

Orotracheal intubation is an aggressive technique that is performed very frequently in emergency services and out-of-hospital emergencies. For this reason, all physicians who dedicate themselves to these tasks must know the benefits that it brings and the problems that are derived from it.

When faced with a Lindholm laryngoscope‌ ‌patient in a critical situation who arrives at an emergency service, it is necessary to carry out a formal assessment of the need for endotracheal intubation; This need can be immediate in case of cardiac arrest, very urgent in the case of respiratory failure that can cause respiratory arrest.

Evaluation of the Degree of Urgency of Intubation

If cardiopulmonary resuscitation is already in progress, mask and oxygen ventilation at 100% will be required, followed by orotracheal intubation. If this is not the case, a rapid assessment will be carried out to determine the degree of urgency with which the intubation should be performed. This assessment includes the following steps:

  1. Level of Consciousness; The clouding, stupor or coma may have a respiratory origin (hypoxemia or hypercapnia) or a metabolic or neurological cause. The decrease in the degree of consciousness, whatever the cause, maybe the trigger of obstruction of the airway, pulmonary aspiration, atelectasis or pneumonia.
  2. Skin; Cyanosis is the external sign of the desaturation of hemoglobin and appears when there is at least 5g/dl of desaturated hemoglobin. The presence of cold skin accompanied by sweating suggests intense autonomic stress or circulatory failure.
  3. Breathing; It is very important to observe the degree of respiratory effort, and special attention must be paid to the rhythm and depth of the movements of the thorax.

In the presence of a patient whose breaths are slow and deep (<10 min), it is considered that there is drug intoxication or a process that affects the central nervous system. Tachypnea is more non-specific and can have any aetiology.

Dee Jones