Olympus MAJ-210 Disposable Biopsy Valve for Bronchoscopes & Rhino-laryngoscopes

I'm Shiela Cofer I'll be discussing diagnostic micro direct laryngoscopy and bronchoscopy first the patient is placed on the operating table in a supine position we ask the anesthesiologist to maintain spontaneous ventilation during the procedure we always take care to place a rubber tooth guard or piece of gauze to protect the upper dentition or alveolus a thorough exam including palpation of the palate is performed we then insert the laryngoscope down the right side of the oral cavity sweeping the tongue to the left in order to perform laryngoscopy the ventilation circuit is then connected to the insufflations annal on the laryngoscope a zero Degree Hopkins rod telescope is used to examine the structures of the airway also of note we applied topical 1% lidocaine to the vocal cords at the beginning of the procedure to aid with anesthesia we take standardized photos along the way of the