GlideScope Cobalt AVL, Руководство пользователя и справочник

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GlideScope
®
Cobalt AVL System
32 User’s Manual
1. In the Mouth: looking directly into the patient’s mouth and with the
Cobalt AVL in the left hand, introduce the GlideScope video laryn-
goscope into the midline of the oral pharynx.
2. At the Screen: With the laryngoscope inserted, look to the monitor
to identify the epiglottis, then manipulate the scope to obtain the
best glottic view.
3. In the Mouth: looking directly into the patient’s mouth, not at the
screen, carefully guide the distal tip of the tube into position near
the tip of the laryngoscope.
4. At the Screen: Look to the monitor to complete the intubation;
gently rotate or angle the tube to redirect as needed.
GlideScope 4-Step Technique
Verathon ® recommends using the GlideScope 4-Step Technique
as outlined below:
• The Cobalt AVL Video Baton and the GVL
®
Stat are designed to be
inserted down the midline of the tongue to the epiglottis.
• The Cobalt AVL Video Baton with a GVL Stat may be used to produce
a Macintosh style lift of the epiglottis, or to produce a Miller lift.
• Intubations using the Cobalt AVL Video Baton with a GVL Stat only
require approximately 0.5–1.5 kg (1–3.5 lbs) of lifting force.
• The use of an endotracheal tube stylet is recommended. The GlideRite
®
Rigid Stylet has been designed to complement the angle of the video
baton to facilitate intubation, and should be used with endotracheal
tubes 6.0 mm and larger. A malleable stylet may be used with a
60–90° angle.
• To aid the passage of the endotracheal tube when at the vocal cords,
gradually withdraw the stylet approximately 5 cm. A 1 cm adjustment
(withdrawal) of the laryngoscope may be beneficial to reduce the
viewing angle and allow the glottis to drop.
Tips for Using the GlideScope Cobalt AVL
Figure 29 GlideRite Rigid
Stylet, video baton, and
GVL Stat
Using the Cobalt AVL