Page 193 - Clinical Application of Mechanical Ventilation
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Airway Management in Mechanical Ventilation  159


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                                                                      Blade




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                                             Figure 6-6  Attaching the laryngoscope blade to the handle. The blade locks into place when 
                                             it is properly engaged.


                                               Patients with short necks, high larynxes, or who are obese often need straight
                            A straight blade func-  blades to displace the tongue and attached soft tissues upward. A straight blade also
                          tions better in patients with
                          short necks, high or rigid   functions better in patients with rigid larynxes due to scar formation or trauma
                          larynxes, or obesity.
                                             (Whitten, 1997).























                                                                                                        Springer-Verlag. Used with permission. From Finucane, B. T., & Santora, A. H. (2003), Principles of airway management (3rd ed.). New York:










                                             Figure 6-7  Proper placement of a straight (Miller) blade during intubation. The blade lifts up 
                                             the epiglottis anteriorly to expose the glottic opening and vocal cords.






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