Miller blade
Straight laryngoscope blade commonly used for pediatric intubation, allowing direct visualization of the epiglottis and vocal cords.
Full Definition
A straight-blade laryngoscope design that is the preferred choice for infant and pediatric airway management due to the anatomical differences in children's airways. The Miller blade's straight configuration allows for better visualization in patients with relatively large tongues, anterior larynxes, and floppy epiglottises characteristic of pediatric anatomy. Sizes range from 0 (premature infants) to 4 (adolescents), with size selection based on patient age, weight, and anatomical considerations rather than adult curved blade preferences.
Usage
Usage note: Standard choice for pediatric patients; curved blades typically reserved for adolescents
In Context
- "The anesthesiologist selected a size 1 Miller blade for the 18-month-old patient's intubation." — airway management documentation
- "Pediatric intubation was successful on first attempt using a Miller blade with direct epiglottis lifting." — anesthesia record