Assessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera.
A 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the abs...
| Published in: | Journal of Clinical Monitoring & Computing Vol. 27; no. 5; pp. 531 - 534 |
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| Main Authors: | , , |
| Format: | case study Journal Article |
| Published: |
Springer Nature
Oct2013
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| Online Access: | View this record in EBSCOhost |
| Summary: | A 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the absence of a fiberscope, a novel inexpensive Universal Serial Bus camera was used to obtain an optimal laryngoscopic view. This provided direct visual confirmation of tracheal intubation with a Laser Flex tube, when capnography failed to show any trace. Capnography may not be reliable as a sole indicator of confirmation of correct endotracheal tube placement. Video laryngoscopy may provide additional confirmation of endotracheal intubation. |
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