Laryngoscopy Preparation: A Patient's Guide to Safety and Comfort

Proper preparation ensures safe, effective laryngoscopy (direct or video).

Pre‑Procedure Checklist

1. History & exam: Allergies, medications, airway anatomy (Mallampati, thyromental distance), prior anesthesia.
2. Fasting (NPO): 6–8 hrs solids, 2 hrs clear liquids—reduces aspiration risk.
3. Informed consent: Discuss indication, risks (dental injury, airway trauma, sore throat), alternatives.
4. Anesthesia plan: Topical ± sedation (awake) or general. Review pre‑meds (antisialagogue, anxiolytic).
5. Remove dentures, jewelry, oral appliances.
6. Positioning: Supine, sniffing position (head elevated, neck extended).
7. Equipment check: Laryngoscope, blades, bougie, tubes, suction, monitors, difficult‑airway cart.
8. Oral hygiene: Antiseptic rinse if indicated.
9. Psychological support: Explain steps, reassure.

Team communication (time‑out) before starting.