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 

Post-op

High-Yield

Links