GlideScope RANGER Single Use Tips & Techniques 2016

RANGER SINGLE USE

TIPS & TECHNIQUES WARNING When you are guiding the endotracheal tube (ETT) to the distal tip of the video laryngoscope, ensure that you are looking in the patient's mouth, not at the video monitor screen. Failure to do so may result in injury to the tonsils or soft palate.

4-STEP TECHNIQUE 1. Look in the Mouth: With the video laryngoscope blade in your left hand, introduce it into the midline of the oral pharynx. 2. Look at the Screen: Identify the epiglottis, and then manipulate the blade in order to obtain the best glottic view. 3. Look in the Mouth: Carefully guide the distal tip of the tube into position near the tip of the blade. 4. Look at the Screen: Complete the intubation, gently rotating or angling the tube as needed to redirect it.

TIPS FOR BLADE INSERTION • Insert the blade down the midline of the tongue to the epiglottis. • Intubations using GlideScope video laryngoscopes require approximately 0.5–1.5 kg (1.1–3.3 lbs) of lifting force. • Use of an endotracheal tube stylet is recommended. The GlideRite® Rigid Stylet is designed to complement the angle of adult-size blades. A malleable stylet may be used with a 60– 90° angle. • To aid the passage of the ETT, withdraw the stylet approximately 5 cm (2 in) while gently advancing the ETT. A 1 cm (0.4 in) withdrawal of the blade also may be beneficial to reduce the viewing angle and allow the glottis to drop.