How is a Miller blade used?
How is a Miller blade used?
Description. The Miller laryngoscope is a straight blade designed to obtain a view of the vocal cords by directly lifting the epiglottis. It has useful application in ‘floppy’ airways making it popular within paediatric anaesthesia. The Miller laryngoscope is the most commonly used blade today.
Where is the Miller blade inserted?
Orotracheal Intubation
- The Macintosh blade is curved, and the tip is inserted into the vallecula (the space between the base of the tongue and the pharyngeal surface of the epiglottis) (Fig.
- The Miller blade is straight, and it is passed so that the tip lies beneath the laryngeal surface of the epiglottis (Fig.
When do you use a Miller laryngoscope?
However, the Miller provides a better view of the glottis in a patient with a long, floppy epiglottis, or an anterior larynx. Therefore, this laryngoscope is preferred in infants, pediatric patients, and patients with an anterior larynx [1].
Why is Miller blade used in paediatrics?
The Miller (straight) laryngoscope blade is regarded as the preferred blade to expose the laryngeal inlet in infants and children during tracheal intubation.
How do you insert a laryngoscope blade?
Insert the Blade To The Right Of The Tongue Insertion of the blade during direct laryngoscopy should be delicate and deliberate. With the mouth open, insert the blade, slightly to the right of the tongue. Don’t hit the teeth as you insert.
What blade do you use to intubate an infant?
Therefore, straight laryngoscope blades are recommended for use in children and infants under 2 years of age. In neonatal tracheal intubations, Miller blade is the most frequently utilized blade (6).
Why is Miller laryngoscope used in children?
Views with the MAC blade were better when placed into the vallecula compared with under the epiglottis. The Miller (straight) laryngoscope blade is regarded as the preferred blade to expose the laryngeal inlet in infants and children during tracheal intubation.
Which laryngoscope is most commonly used?
The most common laryngoscope blade used for intubation in adults is the curved Macintosh blade (Figure 34-4). This is inserted into the right side of the mouth to displace the tongue laterally. The tip of the blade sits in the vallecula and is lifted forward to elevate the epiglottis and expose the laryngeal inlet.
