DL with biopsy
Considerations
Preparation
Setup
Procedure
Dr. Wang
Ask for reinforced tube
Tape to the left
Have several laryngoscopes set up, look at previous op note for suggestions
Dedo and Zeitels are good options
Make sure light cords are correct.
Zeitels has same light cord as scope but you need another one
Ask for Therma-splint, hot water, cold water, and scissors (to trim off part of therma-splint)
Assemble zero and 30 degree scopes
Fred at side of head
Set up for pictures
Thumb control and olive tip suctions
Put suction under head donut when not in use (avoid skin abrasions and suctioning chronically on the skin)
Set up suction early
Ask for mustarde stand for suspension (can use mayo if really not available)
Make sure to use fingers to get lips out of the way when doing DL
Get a good view, adjust as needed
Biopsy
Upbiting cup forceps are good to really get a good place
Have straight cup forceps as well
Grab firmly, push in, and pull out quickly
Epinephrine pledgets for hemostasis at the end
Remove laryngoscope and camera. Then pull out pledget at the very end