ABSTRACT
Intubation During intubation the ideal view obtained of the cords is such that only the top of the vocal cords are in view and the cuneiform and corniculate tubercles are not visible. To obtain a full view of the cords, the scope needs to be angulated down (thumb up) (Fig. 8.2). However, the scope should not be advanced forward in this angulated position. The scope would simply meet resistance against the epiglottis in this position. The cords are prepared for intubation in the standard manner with the application of two to three aliquots of 1 mL of 2 per cent lidocaine. Further aliquots of lidocaine are applied to the trachea and main bronchus after intubation. The image obtained with the ultrasound bronchoscope is intended for intubation orientation within the airway. Although some diagnostic information is obtained, we would recommend using a conventional bronchoscope for these purposes and then use the ultrasound bronchoscope for mediastinal sampling.
