What is the use of Magill forceps?

Appeared in: DSSSB October 2024

Explanation

Magill forceps are specifically designed with an angle to manipulate objects in the pharynx and larynx.
Their primary use is in anesthesia and emergency medicine to guide an endotracheal (ET) tube into the larynx, especially during nasal intubation.
The unique angled shape allows the practitioner to see the vocal cords and the tip of the ET tube simultaneously, which is crucial for successful and safe intubation.
They are also used for removing foreign bodies from the upper airway and placing nasogastric tubes.

Option A: This describes the function of Cheatle forceps, not Magill forceps.
Option B: Magill forceps are not designed for cutting or holding dense surgical tissue.
Option C: This describes the function of a needle holder.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Function and application of Magill forceps in a clinical setting as background academic context rather than a clinical decision trigger.
Magill forceps are a critical tool in airway management. A nurse assisting with intubation must be able to quickly identify and provide these forceps when requested.
Their use is vital in securing a definitive airway, which is a life-saving intervention in patients with respiratory failure, trauma, or during general anesthesia.
In an emergency, these forceps can be used to remove a foreign body obstructing the airway, preventing asphyxiation.

How to Approach the Question

This is a factual recall question about surgical instruments.
First, identify the instrument mentioned in the question stem: 'Magill forceps'.
Recall the primary function of this specific instrument. Think about its unique shape (angled) and where it is most commonly used (anesthesia, emergency airway management).
Evaluate each option against the known function of Magill forceps.
Option A describes Cheatle forceps. Option B describes tissue forceps like Kocher's. Option C describes a needle holder.
Option D correctly identifies the primary use of Magill forceps in guiding an endotracheal tube. Select this as the correct answer.

Concept Tested & Keywords

Concept Tested: Function and application of Magill forceps in a clinical setting.
Stem keywords: Magill forceps, use
Lead-in keywords: What is

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 79-81

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 50-60

Practise the full DSSSB October 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.