Fibreoptic intubation

@article{Morris1994FibreopticI,
  title={Fibreoptic intubation},
  author={Ian R. Morris},
  journal={Canadian Journal of Anaesthesia},
  year={1994},
  volume={41},
  pages={996-1008}
}
  • I. Morris
  • Published 1994
  • Medicine
  • Canadian Journal of Anaesthesia
Although not widely utilized, fibreoptic techniques represent a dramatic advance in the management of the difficult intubation. Particularly suited to the awake patient in the elective setting, fibreoptic intubation can abo be useful in selected emergency situations, and can be done under general anaesthesia. In the awake patient fibreoptic intubation maintains a wide margin of safety while producing minimal patient discomfort, but requires adequate local anaesthesia of the airway. Intimate… 
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24 Citations
Highly Influential Citations
1
Background Citations
5
Methods Citations
3

24 Citations

Fibreoptic and Videoscopic Indirect Intubation Techniques for Intubation in Children

Endotracheal intubation in the pediatric emergency department can be challenging. Direct laryngoscopy is the primary intubation technique used in pediatric emergency intubations. However, cases arise…

Endotracheal intubation with flexible fiberoptic bronchoscope in patients with severe nontoxic goiter

The fiberoptic intubation is considered "the gold pattern" for the approach of the anticipated difficult airway in patients with severe nontoxic goiter.

Supraglottic airways in difficult airway management: successes, failures, use and misuse

There are few randomised controlled trials comparing different SADs in patients with difficult airways, most safety data come from extended use rather than high quality evidence and claims of efficacy and particularly safety must be interpreted cautiously.

A prospective cohort study of awake fibreoptic intubation practice at a tertiary centre

Institutional awake fibreoptic intubation training can both develop and maintain trainee competence in performing awake fibre Optic Intubation, with a similar incidence of complications and success compared with consultants.

Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions.

The main aim of this review article is to analyse the incidence of, causes of and possible solution to, the dif®culty in advancing a tube over a ®brescope into the trachea.

Is fiberoptic bronchoscope a good intubating choice in anesthetized patients with anticipated difficult intubation?

Prospective Comparison of Intubating Conditions with Video Laryngoscope and Macintosh Laryngoscope in Randomly selected elective adult surgical patients

Video laryngoscope significantly improves laryngeal exposure and facilitates rapid, easy and reliable intubation and can be useful in routine anaesthesia care and also in anticipated and unanticipated difficult intubations.

Fibreoptic Intubation Skills among Anaesthetists in New Zealand

There appears to be a need to increase available opportunities to perform fibreoptic intubation to enable maintenance and improvement of fibreoptics skills in the anaesthetic community of New Zealand.

Anaesthetic Considerations in Macroglossia Due to Haemangioma of the Tongue : A Case Report

Fibre optic techniques represent a dramatic advance in the management of the difficult intubation and cannot be followed in patients with a full stomach with a difficult airway.

Lightwand intubation: II — Clinical trial of a new lightwand for tracheal intubation in patients with difficult airways

It is demonstrated that Trachlight™ is an effective and safe device to intubate the tracheas of elective surgical patients with a history of difficult airway in experienced hands.

References

SHOWING 1-10 OF 82 REFERENCES

Oral fiberoptic intubation over a retrograde guidewire.

This work describes use of RFI in several instances that represent challenging problems in airway management and reveals only one report of the clinical use of this technique in the literature.

Awake fibreoptic intubation in the patient at high risk of aspiration.

This report describes the experiences with 129 awake oral and nasal fibreoptic intubations in 123 patients considered to be at high risk of aspiration of gastric contents and local anaesthesia was applied to the larynx and trachea through the working channel of the fibrescope on 85 occasions.

An introduction to the fiberoptic laryngoscope

The fiberoptic laryngoscope can make difficult or impossible tracheal intubations as easy as a routine procedure and the reasons for failure are described.

Endotracheal intubation with the fibre‐optic bronchoscope

It was shown that the use of the fibre‐optic bronchoscope significantly diminished the number of complicated intubations and reduced the intubation trauma considerably, and the occurrence of postoperative upper airway oedema was significantly related to the extent of the int tube trauma.

Fiberoptic intubation in the emergency department.

A fibre—optic endoscope used for nasal intubation

The development of sophisticated fibre-optic endoscopes which carry their own flexible illuminating and viewing systems in a tube of 6mm diameter for the first time permits a direct view through the endotracheal tube during nasal intubation.

Difficult Fibreoptic Intubation in an Intellectually Handicapped Patient

The use of a stylette in blind nasotracheal intubation using doxapram hydrochloride and the combined use oflaryngeal mask airway and fibreoptic laryngoscope in difficultintubation (letter) are described.

Emergency flexible fiberoptic nasotracheal intubation: a report of 60 cases.

The ultra-thin bronchoscope in management of the difficult paediatric airway

The use of an ultra-thin flexible fiberoptic bronchoscope with a single lumen diameter of 2.7 mm at the distal tip to assist intubation of paediatric patients with a difficult airway is reported. Two…

How to avoid problems when using the fibre‐optic bronchoscope for difficult intubations

A succession of reports of successful cases would be helpful when deciding whether to resort to tracheostomy or to prolong intubation further and, in order to form a balanced judgement, reports of cases with complications are equally important.
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