TY  - CHAP
M1  - Book, Section
TI  - Lighted Stylet Intubation
A1  - Tymouch, Jaroslav
A1  - Voronov, Gennadiy G.
A1  - Nasr, Ned F.
A2  - Reichman, Eric F.
PY  - 2018
T2  - Reichman's Emergency Medicine Procedures, 3e
AB  - Direct  laryngoscopy  is  the  most  common  method  of  tracheal  intubation  in  the  Emergency  Department.  Tracheal  intubation  in  critically  ill  patients  is  a  high-risk  procedure.  The  risk  of  complications  increases  with  repeated  or  prolonged  attempts.  Make  expedient  first  attempt  success  the  goal  for  airway  management  in  these  patients.  Patient-related  factors  often  make  visualization  of  the  airway  and  placement  of  the  tracheal  tube  difficult.  Physiologic  derangements  reduce  the  patient’s  tolerance  for  repeated  or  prolonged  attempts  at  laryngoscopy.  This  results  in  hypoxemia  and  hemodynamic  deterioration.  Operator-related  factors  (e.g.,  experience,  device  selection,  and  pharmacologic  choices)  affect  the  odds  of  a  successful  intubation  on  the  first  attempt.  Direct  laryngoscopy  will  be  difficult  or  impossible  in  approximately  1%  to  3%  of  patients  requiring  intubation.1-4  This  may  be  due  to  many  different  causes  (e.g.,  excessive  airway  bleeding,  limited  cervical  spine  mobility,  or  limited  cervical  spine  mobility).  Blind  intubation  using  a  lighted  stylet  in  these  situations  is  a  proven  valuable  technique.5-14  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159794944
ER  -