RT Book, Section
A1 Heilman, James A.
A1 Burns, Beech S.
A1 Ma, O. John
A2 Reichman, Eric F.
SR Print(0)
ID 1159794882
T1 Digital (Tactile) Orotracheal Intubation
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159794882
RD 2024/04/19
AB Digital  orotracheal  intubation  is  an  alternative  advanced  airway  technique  that  has  been  demonstrated  to  be  effective  when  performed  by  trained  prehospital,  aeromedical,  combat,  and  hospital  providers.1-18  The  index  and  middle  fingers  are  used  to  direct  the  endotracheal  tube  into  the  patient’s  larynx.  This  technique  is  “blind”  in  that  the  airway  is  not  visualized  at  any  point  during  the  procedure.  Use  this  technique  in  the  Emergency  Department  as  a  secondary  or  tertiary  method.  It  may  be  particularly  useful  when  oral  secretions  or  blood  inhibit  direct  visualization  of  the  upper  airway.1  There  is  evidence  in  hospitalized  neonatal  patients  that  digital  intubation  may  be  more  effective  than  direct  laryngoscopy  as  a  primary  method  of  orotracheal  intubation.2-4,14