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How to use Macintosh (Mac) and Miller Blade with First Person POV for Endotracheal Intubation?
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- เผยแพร่เมื่อ 16 ส.ค. 2024
- Studies:
Comparison of the laryngoscopy views with the size 1 Miller and Macintosh laryngoscope blades lifting the epiglottis or the base of the tongue in infants and children under 2 yr of age
bjanaesthesia....
Pioneers of laryngoscopy: indirect, direct and video laryngoscopy.
Robert Arden Miller: ‘straight’ laryngoscope blade (the so-called ‘Miller blade’)
Robert Reynolds Macintosh: was the first to suggest routinely placing the blade’s tip in the vallecula and then indirectly lifting the epiglottis. Macintosh did not consider the shape or curve of the blade of primary importance, but it may often avoid trauma to the patient’s upper teeth.
journals.sagep...
Link below to Laerdal Thomas Tube Holder manufactures instructions:
laerdal.com/us...
www.manualsdir...
I am in my first few months of CRNA school and was having a hard time visualizing the difference in blade placement between MAC and Miller blades. Your video is the only video on youtube I found after, honestly, hours that explained it to where I finally understood it. Thank you so much for posting this!
Best video on TH-cam on how to intubate
Much appreciated!
Николай, спасибо, очень классное видео с необходимыми подробностями! Отличное оборудование, очень наглядно!
Спасибо, рад, что это было полезно!
Wonderfully explained 🙌
Glad you liked it
Great video I appreciated the POV and both mannequins
Glad you enjoyed it!
Rest in peace mac miller 🪦
Awesome video !
Glad you enjoyed it
Thank's man 👍
Any time!
do you normally wrap your fingers around the actual blades?? I have never seen that. I'd stick to keeping my fingers on the handle.
Nice. What are the special situations you would want to go for straight blade in adults rather than the McIntosh blades which are regularly used with good success rates! Please share your knowledge.
There isn't situation specific change in blade selection. Use the blade you are most proficient and have the most experience for your first attempt. If you employed Mac blade or standard geometry video laryngoscope (shaped as Mac) for years and have good proficiency, it would be foolish to switch to another blade because of perceived situation. Use the one you are most proficient in for your first attempt.
@@criticalcareift Ty
Most people would never use the miller nowadays.
Historically when other intubation aids didn't exist you would change blades after failing with your first choice one. Now you would switch to an SGA, a video laryngoscope or a flexible bronchoscope