Preparing to perform an awake fiberoptic intubation.

Hdl Handle:
http://hdl.handle.net/10147/209136
Title:
Preparing to perform an awake fiberoptic intubation.
Authors:
Walsh, M E; Shorten, G D
Affiliation:
Cork University Hospital and University College, Ireland.
Citation:
Yale J Biol Med. 1998 Nov-Dec;71(6):537-49.
Journal:
The Yale journal of biology and medicine
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209136
PubMed ID:
10604785
Abstract:
Fiberoptically guided tracheal intubation represents one of the most important advances in airway management to occur in the past thirty years. Perhaps its most important role is in management of the anticipated difficult airway. This is a situation in which the dangers of encountering the life-threatening "can't intubate, can't ventilate" situation can be avoided by placement of an endotracheal tube while the patient is awake. Although skill at the procedure of endoscopy is obviously necessary in this setting, these authors hold that success or failure of the technique frequently depends on the adequacy of preparation. These measures include 1) pre-operative assessment of the patient; 2) careful explanation of what lies in store; 3) "setting the stage"; 4) preparing the equipment to be used; and 5) preparing the patient (antisialogue, sedation, application of topical anesthesia to the upper airway). If these preparatory measures are carried out meticulously, the likelihood of performing a successful and comfortable awake fiberoptic tracheal intubation is greatly increased.
Language:
eng
MeSH:
Anesthesia, Local/methods; Fiber Optic Technology/instrumentation/*methods; Humans; Hypnotics and Sedatives/administration & dosage; Intubation, Intratracheal/adverse effects/instrumentation/*methods; Larynx; Mouth; Operating Rooms; Oxygenators; Safety; Suction; Surgical Equipment; Trachea
ISSN:
0044-0086 (Print); 0044-0086 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorWalsh, M Een_GB
dc.contributor.authorShorten, G Den_GB
dc.date.accessioned2012-02-03T15:13:12Z-
dc.date.available2012-02-03T15:13:12Z-
dc.date.issued2012-02-03T15:13:12Z-
dc.identifier.citationYale J Biol Med. 1998 Nov-Dec;71(6):537-49.en_GB
dc.identifier.issn0044-0086 (Print)en_GB
dc.identifier.issn0044-0086 (Linking)en_GB
dc.identifier.pmid10604785en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209136-
dc.description.abstractFiberoptically guided tracheal intubation represents one of the most important advances in airway management to occur in the past thirty years. Perhaps its most important role is in management of the anticipated difficult airway. This is a situation in which the dangers of encountering the life-threatening "can't intubate, can't ventilate" situation can be avoided by placement of an endotracheal tube while the patient is awake. Although skill at the procedure of endoscopy is obviously necessary in this setting, these authors hold that success or failure of the technique frequently depends on the adequacy of preparation. These measures include 1) pre-operative assessment of the patient; 2) careful explanation of what lies in store; 3) "setting the stage"; 4) preparing the equipment to be used; and 5) preparing the patient (antisialogue, sedation, application of topical anesthesia to the upper airway). If these preparatory measures are carried out meticulously, the likelihood of performing a successful and comfortable awake fiberoptic tracheal intubation is greatly increased.en_GB
dc.language.isoengen_GB
dc.subject.meshAnesthesia, Local/methodsen_GB
dc.subject.meshFiber Optic Technology/instrumentation/*methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypnotics and Sedatives/administration & dosageen_GB
dc.subject.meshIntubation, Intratracheal/adverse effects/instrumentation/*methodsen_GB
dc.subject.meshLarynxen_GB
dc.subject.meshMouthen_GB
dc.subject.meshOperating Roomsen_GB
dc.subject.meshOxygenatorsen_GB
dc.subject.meshSafetyen_GB
dc.subject.meshSuctionen_GB
dc.subject.meshSurgical Equipmenten_GB
dc.subject.meshTracheaen_GB
dc.titlePreparing to perform an awake fiberoptic intubation.en_GB
dc.contributor.departmentCork University Hospital and University College, Ireland.en_GB
dc.identifier.journalThe Yale journal of biology and medicineen_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.