Laryngeal Manipulation

Question 1

Indications for laryngeal manipulation?

Answer 1

1. Suboptimal visualisation of the larynx during direct laryngoscopy

Question 2

Contraindications for laryngeal manipulation?

Answer 2

1. Active vomiting

Question 3

Complications of laryngeal manipulation?

Answer 3

1. Incorrect application
2. May worsen visualisation of the larynx
3. Potential or airway obstruction

Question 4

What are the two types of laryngeal manipulation?

Answer 4

ELM:
- grasping the thyroid cartilage between the thumb and index finger, direct the cartilage posteriorly and cephalad until optimal visualisation has been achieved

BURP:
- smooth, gentle pressure applied to the thyroid cartilage in a backwards, upwards and rightwards motion