Hyperangulated Videolaryngoscopy: What is it? How do you use it?
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- Опубліковано 27 січ 2023
- Why Hyperangulated Laryngoscope Blades Require a Different Technique or You Can Get Into Trouble!
Use of the C-MAC D Blade Hyperangulated Videolaryngoscope
Short and precise lecture about usage and advantages/disadvantages of a D-Blade. Thank you! You may be happy about hearing that this is shared a lot under FOAM-enthusiasts.
Thank you for the video!!
I've been using VL with a cheap "aliexpress" device, it's not too bad, but i'm still in the beginning of the slope of the learning curve, and one problem i've encoutered is when using the bougie, the lamp will make it "pop" and the focus will shift to the bougie and the device will darken the rest of the picture, making it harder to see. Is it a problem with the device of with who's operating the device? would you have any tip on that? and thanks for the great videos
Your uses for hyperangulated are pts w/ big tongue or small chin?
I notice with the hyperangulated blade demo you still inserted the tube at a 45-60 degree and to the saggital plane. Do you ever just slide it down the midline exactly parallel to the blade to avoid the need to manipulate the tip of the tube left/right? My understanding is that we typically insert the tube in the corner of the mouth at an angle to avoid losing direct line of sight during DL…which is not an issue in VL. Seems to make it a lot easier going straight down the middle with the tube so you only have to manipulate the tip in one geometric plane. Cheers!
I'm not the video creator obviously but I usually find myself often still entering in the corner of the mouth (probably by habit). An exception to this is particularly small mouth openings; in those situations you enter the mouth as best you can to fit both blade and tube in (I've actually seen some providers put the tube in before the blade in this situation). I think this boils down to preference and what works best for you.
Perhaps more important than the angle of insertion or laterality of insertion is maintaining the direct line of sight to first avoid the uvula/tonsils, both when inserting the blade and inserting the tube. It is certainly not a benign tool and I have heard of surgical cases cancelled due to oropharyngeal hemorrhage from irresponsible insertions.
For the record you can obscure your view with the tube in VL too, mainly if you are in front of the camera too early on in the tube approach. You'll see the cuff of the tube all over your screen and lose sight of the cords. For this reason I do prefer coming in from the right side normally.
Great observation thank you