The
operator has to stand on the head end of the patient,
control the tube and the lighted stylet like a
pencil grip for oral intubation. The room lights
will be put offbefore intubation.
The
lower jaw will be grasped and pulled forward with
adequate mouth opening using the nondominant hand.
Holding the handle of the lightwand with the dominant
hand, the tip of the lightwand should be passed
under the tongue and with gentle anterior traction
a bright glow is seen in the anterior neck midline
near the thyroid cartilage upto the suprastemal
notch. The stylet will be pulled and the endotracheal
tube simultaneously slid forward off the stylet.
Lightwand
is a lighted stylet, which uses the trans-illumination
as a guide to blind Intubation of the trachea.
It is useful in difficult intubation situation
and a better choice when compared to Blind nasal
intubation where you require a cooperative spontaneously
breathing patients and flexible fibreoptic bronchoscope
requires a clear field devoid of secretions. The
tracklight has a bulb attached at the tip with
internal light source/handle along with a retractable
stylet. If also has connector clamp which allows
for securing of the tube and now provided with
three reusable stylets to accommodate tracheal
tubes from ID size 2.5 - 10 mm.