How do you intubate with a Miller blade?

How do you intubate with a Miller blade?

Procedure (Miller Blade)

1. Place patient into sniffing position.
2. Use “scissor” technique with right hand to open mouth.
3. Insert laryngoscope blade into right side of mouth.
4. Slowly advance blade into mouth while performing “tongue sweep”
5. Identify epiglottis and gently lift with tip of blade.

How do you put a Miller blade in?

If using the Miller blade, then advance to the epiglottis and place the tip of your blade on the epiglottis. Then you sweep the tongue to the left and pull your blade towards your patient’s feet, lifting the epiglottis.

Where is the Miller laryngoscope blade placed during endotracheal intubation?

Intubation is usually performed with a laryngoscope. The Macintosh and Miller blades are most commonly used. The Macintosh blade is curved, and the tip is inserted into the vallecula (the space between the base of the tongue and the pharyngeal surface of the epiglottis) (Fig. 14.4A).

Is Mac or Miller blade better?

In our study, we found that Miller blade directly lifting the epiglottis gives better laryngoscopic view and ease of intubation when compared with Macintosh blade. This can be explained by the fact that Miller blade directly lifts the epiglottis which is obstructing the glottic view.

What do you need for intubation?

Equipment

• Laryngoscope (see image below): Confirm that light source is functional prior to intubation.
• Laryngoscope handle, No.
• Endotracheal (ET) tube.
• Stylet.
• Syringe, 10 mL (to inflate ET tube balloon)
• Suction catheter (eg, Yankauer)
• Carbon dioxide detector (eg, Easycap)
• Oral and nasal airways.

What is a common complication of sedating a patient prior to intubation?

Combatting Hypotension. Post-intubation hypotension (PIH) is another common complication of emergent ETI and post-intubation sedation. Nearly 50% of all patients requiring emergent airway control experience some period of significant hypotension.

How do I know what size intubation blade I need?

The blade length excluding the base is measured by placing the proximal blade at the child’s upper incisor teeth with the blade tip extending to the angle of the mandible. If the blade tip is within 1 cm proximal or distal to the angle of the mandible, it is an appropriate blade length for intubation.

When would you use a Miller blade?

Description. The Miller laryngoscope is a straight blade designed to obtain a view of the vocal cords by directly lifting the epiglottis. It has useful application in ‘floppy’ airways making it popular within paediatric anaesthesia. The Miller laryngoscope is the most commonly used blade today.