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    Preparing to perform an awake fiberoptic intubation.

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    Authors
    Walsh, M E
    Shorten, G D
    Affiliation
    Cork University Hospital and University College, Ireland.
    Issue Date
    2012-02-03T15:13:12Z
    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
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Yale J Biol Med. 1998 Nov-Dec;71(6):537-49.
    Journal
    The Yale journal of biology and medicine
    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
    ISSN
    0044-0086 (Print)
    0044-0086 (Linking)
    Collections
    Cork University Hospital

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