Subglottic Dilation

Considerations

Preparation

• Ventilation

  • Jet ventilation through laryngoscope

• Eye preparation

  • Paper tape over lids

  • Wet "eye pads" over tape

  • Another long strip of paper tape over both eye pads

• Equipment

  • Dedo laryngoscope 

  • Flat drape

  • Mayo stand above patient

  • Tooth guard 

• Check all equipment including light cables and light sources

Procedure

• • Place in suspension using the Dedo laryngoscope 

  • Begin jet ventilation

• Adjust the head and neck positioning as needed

  • Sniffing position (neck flexion with head extension)

• Photograph using 0 degree Hopkins rod endoscope 

• Laryngeal Coblator to stenotic tissue, making "releasing" cuts

• Balloon dilation

  • Remove the laryngoscope and tooth guard

  • Examine the airway for any unintentional injury 

Post-op

High-Yield

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