The Protected Airway CollaborativeLearn · Practice · PerformCollection 07/07Evolution of the Tube Introducer · 07/07
ArticulatingIntroducers
Video laryngoscopy changed the view. Articulating introducers add active distal control for navigating the route the camera reveals.
- Design
- Articulating tip
- Environment
- Video laryngoscopy
- Setting
- Hands-on station
Prime the hands before the procedure
What to noticeas you move through.
This lesson is one specimen in an 7-part collection. Use the aims below as an observation guide—not as a checklist to rush through.
Watch the full movement, isolate the transitions, then rehearse them at the physical station until the sequence feels controlled.
Direct the tip
Use active articulation to align the introducer with a target seen through a curved laryngoscope.
Control depth
Advance deliberately and use the device markings and visual feedback to limit unnecessary insertion.
Deliver dynamically
Coordinate articulation, release, and tube delivery as a continuous controlled sequence.
A steerable guide for a camera-shaped view.
Hyperangulated video laryngoscopy may reveal the larynx without creating a straight route to it. Directionally controlled introducers are designed to solve that geometric mismatch.
- 01
Aim the tip
Use articulation to align the distal introducer with the target seen on the monitor.
- 02
Enter under vision
Advance deliberately while preserving visual control and limiting unnecessary depth.
- 03
Release articulation
Relax the mechanism after tracheal entry so the tube can follow a less constrained route.
- 04
Deliver the tube
Hold introducer depth stable while advancing the tube over the guide.
Field observation
Steer the tip. Control the transition.
Articulating introducers replace a fixed distal curve with controlled tip movement. The Total Control Introducer is the principal case study here: its advantage is dynamic alignment, and its new demand is knowing when to steer, when to release, and how to preserve depth through tube delivery.
01One category, several designs+
Articulating introducer is a device category, not a single mechanism. Products may differ in handle geometry, distal articulation, release behavior, markings, stiffness, and the way the tube is loaded or delivered.
The demonstrations on this page primarily use the Total Control Introducer. Treat its sequence as a focused case study in active distal steering, then compare the handling rules of any other device before clinical use.
Explore the manufacturer training resource ↗
Leave the screen
Steer, release, deliver.
At the station, isolate the three phases. Find the target with articulation, relax the mechanism after tracheal entry, and deliver the tube without dragging the tip out of position.
Open Total Control Introducer guided practice ↗- 01
Create and release tip angulation without changing overall depth.
- 02
Practice target acquisition through a hyperangulated view.
- 03
Troubleshoot the tube when articulation has not fully relaxed.
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