Review patient's medical history and allergy status
2
Determine if patient is suitable for the procedure
3
Prepare patient for procedure with explanation of procedure risks and benefits
4
Obtain informed consent from patient
5
Prepare and position the patient on the operating table
6
Administer general anaesthesia
7
Adequately secure patient's head and neck position
8
Check for any anatomical abnormality that might complicate the procedure
9
Insert laryngoscope into the mouth and align to vocal cords
10
Inspect the laryngeal structure
11
Identify any pathology present (e.g. tumour, vocal cord pathology)
12
Take laryngeal biopsy if required
13
Remove laryngoscope from the mouth gently
14
Monitor patient's vital signs until they are stable post-procedure
15
Provide post-procedure instructions to the patient and their family
16
Document and report any abnormalities found during the procedure
17
Approval: Surgeon's review of the procedure
18
Schedule follow-up appointment
Review patient's medical history and allergy status
This task involves reviewing the patient's medical history and allergy status. It is important to understand the patient's medical background and any potential allergies that may impact the procedure. By reviewing this information, we can ensure that the patient is suitable for the direct laryngoscopy technique and identify any potential risks or complications that need to be addressed. The desired result of this task is to have a clear understanding of the patient's medical history and allergy status.
Determine if patient is suitable for the procedure
In this task, we need to determine if the patient is suitable for the direct laryngoscopy procedure. This involves considering factors such as the patient's overall health, current medical conditions, and any previous surgeries or procedures that may impact the safety or efficacy of the laryngoscopy. The desired result is to make an informed decision on whether the patient is suitable for the procedure.
1
Suitable
2
Not suitable
Prepare patient for procedure with explanation of procedure risks and benefits
This task involves preparing the patient for the direct laryngoscopy procedure. It is important to explain the risks and benefits of the procedure to the patient, ensuring they have a clear understanding of what to expect. By preparing the patient and providing them with information, we can help reduce anxiety and ensure they are actively involved in their healthcare decision-making. The desired result is an informed and prepared patient.
Obtain informed consent from patient
In this task, we need to obtain informed consent from the patient for the direct laryngoscopy procedure. It is important to explain the procedure, its risks, benefits, and potential alternatives to the patient. By obtaining their informed consent, we ensure that the patient understands the nature of the procedure and gives their voluntary consent to proceed. The desired result is a signed informed consent form from the patient.
Prepare and position the patient on the operating table
This task involves preparing and positioning the patient on the operating table for the direct laryngoscopy procedure. It is important to ensure the patient is comfortable and properly positioned to facilitate a successful procedure. By preparing and positioning the patient correctly, we can optimize the quality and safety of the laryngoscopy. The desired result is a properly positioned patient on the operating table.
1
Place patient supine on the operating table
2
Ensure patient's head is aligned with the shoulder rest
3
Use appropriate padding to support patient's head and neck
4
Secure patient's arms to prevent movement
5
Ensure patient's face is easily accessible
Administer general anaesthesia
In this task, we need to administer general anaesthesia to the patient for the direct laryngoscopy procedure. General anaesthesia is necessary to ensure the patient is comfortable and unaware of the procedure. By administering general anaesthesia, we can facilitate a smooth and painless laryngoscopy. The desired result is a patient under general anaesthesia.
1
Intravenous induction
2
Inhalation induction
3
Combined intravenous and inhalation induction
Adequately secure patient's head and neck position
This task involves adequately securing the patient's head and neck position during the direct laryngoscopy procedure. It is important to immobilize the patient's head and neck to ensure stability and optimal visualization of the laryngeal structures. By securing the patient's head and neck position, we can minimize the risk of complications and improve the accuracy of the laryngoscopy. The desired result is a securely immobilized head and neck.
1
Use appropriate padding to support patient's head and neck
2
Apply straps or fixation devices to secure head in neutral position
3
Ensure patient's airway is not obstructed by securing head position
4
Check patient's comfort and stability
Check for any anatomical abnormality that might complicate the procedure
In this task, we need to check for any anatomical abnormalities that might complicate the direct laryngoscopy procedure. It is important to identify any structural abnormalities or conditions that may require special considerations or modifications during the laryngoscopy. By checking for anatomical abnormalities, we can anticipate challenges and ensure the procedure is performed safely and effectively. The desired result is an assessment of any anatomical abnormality.
1
Nasal obstruction
2
Obstructive sleep apnea
3
Cervical spine instability
4
Laryngeal stenosis
5
Tracheal deviation
Insert laryngoscope into the mouth and align to vocal cords
This task involves inserting the laryngoscope into the patient's mouth and aligning it to visualize the vocal cords during the direct laryngoscopy procedure. It is important to ensure proper technique and gentle handling of the laryngoscope to minimize trauma and optimize visualization. By inserting the laryngoscope and aligning it to the vocal cords, we can obtain a clear view of the laryngeal structures. The desired result is a properly inserted and aligned laryngoscope.
1
Open patient's mouth with a tongue depressor
2
Hold laryngoscope with left hand and gently insert into mouth
3
Advance laryngoscope until vocal cords are visualized
4
Align laryngoscope for optimal visualization
5
Avoid excessive pressure or movement
Inspect the laryngeal structure
In this task, we need to inspect the laryngeal structure during the direct laryngoscopy procedure. It is important to carefully examine the larynx for any abnormalities, such as tumors or pathology affecting the vocal cords. By inspecting the laryngeal structure, we can identify any pathologies or abnormalities that require further evaluation or intervention. The desired result is a thorough inspection of the laryngeal structure.
1
Visualize the vocal cords and surrounding structures
2
Identify any abnormal findings or lesions
3
Assess vocal cord mobility and function
4
Document any abnormalities found
Identify any pathology present (e.g. tumour, vocal cord pathology)
This task involves identifying any pathology present during the direct laryngoscopy procedure. It is important to carefully evaluate the laryngeal structures for any abnormalities, such as tumors or vocal cord pathology. By identifying any pathology, we can determine the appropriate course of action or further investigation needed. The desired result is the identification of any pathology present.
1
Tumor
2
Vocal cord pathology
3
Subglottic stenosis
4
Reinke's edema
5
Granuloma
Take laryngeal biopsy if required
In this task, we need to take a laryngeal biopsy if required during the direct laryngoscopy procedure. Biopsy may be necessary to obtain tissue samples for further evaluation or diagnosis. By performing a laryngeal biopsy, we can gather valuable information and guide further management. The desired result is a successful laryngeal biopsy if indicated.
1
Yes
2
No
Remove laryngoscope from the mouth gently
This task involves removing the laryngoscope from the patient's mouth gently at the end of the direct laryngoscopy procedure. It is important to ensure a smooth and gentle removal to minimize patient discomfort and trauma. By removing the laryngoscope gently, we can conclude the procedure safely and effectively. The desired result is the successful and gentle removal of the laryngoscope.
1
Withdraw laryngoscope in straight line without rotation
2
Remove tongue depressor and reposition patient's head
3
Ensure patient's airway is clear and unobstructed
Monitor patient's vital signs until they are stable post-procedure
In this task, we need to monitor the patient's vital signs until they are stable following the direct laryngoscopy procedure. It is important to closely observe the patient's blood pressure, heart rate, oxygen saturation, and respiratory status to ensure a smooth recovery. By monitoring vital signs, we can detect early signs of complications and provide appropriate interventions. The desired result is stable vital signs post-procedure.
1
Check blood pressure every 5 minutes for 30 minutes
2
Monitor heart rate and rhythm continuously
3
Assess oxygen saturation every 15 minutes
4
Observe respiratory effort and pattern regularly
Provide post-procedure instructions to the patient and their family
This task involves providing post-procedure instructions to the patient and their family following the direct laryngoscopy procedure. It is important to educate the patient and their family about post-procedure care, potential complications, and when to seek medical attention. By providing clear instructions, we can support the patient's recovery and promote their well-being. The desired result is an informed patient and family with post-procedure instructions.
Document and report any abnormalities found during the procedure
In this task, we need to document and report any abnormalities found during the direct laryngoscopy procedure. It is important to accurately record any abnormal findings to ensure proper documentation and communication with other healthcare providers. By documenting and reporting abnormalities, we contribute to comprehensive patient care and facilitate appropriate follow-up actions. The desired result is a thorough documentation and reporting of any abnormalities.
Approval: Surgeon's review of the procedure
Will be submitted for approval:
Inspect the laryngeal structure
Will be submitted
Schedule follow-up appointment
This task involves scheduling a follow-up appointment for the patient after the direct laryngoscopy procedure. It is important to ensure appropriate follow-up care and evaluation of the patient's condition. By scheduling a follow-up appointment, we can monitor the patient's progress, address any concerns, and facilitate continuity of care. The desired result is a scheduled follow-up appointment for the patient.
