Anaesthesia for awake intubation

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Anaesthesia for awake intubation

The first surgical choledochoscope was introduced in 1965. Murphy subsequently used this instrument to perform the first ever fibre-optic intubation in 1967. The fibre-optic bronchoscope has now become an essential anaesthetic instrument. Awake intubation of the airway can be achieved safely with a variety of techniques using topical analgesia, regional nerve blockade, with or without sedation....

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Learning fiberoptic intubation for awake nasotracheal intubation

Background Fiberoptic nasotracheal intubation (FNI) is performed if it is difficult to open the mouth or if intubation using laryngoscope is expected to be difficult. However, training is necessary because intubation performed by inexperienced operators leads to complications. Methods Every resident performed intubation in 40 patients. Success of FNI was evaluated as the time of FNI. First in...

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Fibreoptic awake intubation--a method of topical anaesthesia and orotracheal intubation.

Three cases of trismus caused by oropharyngeal sepsis are described where fibreoptic-assisted awake intubation using an oral airway intubator and nebulised lidocaine was safely and successfully achieved.

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Awake blind nasal intubation.

Awake blind nasal endotracheal intubation is a modification of Sir Ivan Magill's technique of blind nasal intubation under ether anaesthesia.1 The introduction of neuromuscular blocking agents, facilitating oral intubation under direct vision, led to a decline in popularity of Magill's method and it is now used sparingly, if at all.2 Where the sedated patient remains awake and co-operative, the...

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Efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for awake fibreoptic intubation

BACKGROUND AND AIMS Successful awake fibreoptic intubation (AFOI) depends on adequate topical anaesthesia of the airway. We aimed to compare efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for AFOI. METHODS It was a prospective, randomised controlled study of 33 patients with the American Society of Anesthesiologists' physical status 1-3 with anticipated diffic...

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ژورنال

عنوان ژورنال: BJA CEPD Reviews

سال: 2003

ISSN: 1472-2615

DOI: 10.1093/bjacepd/mkg120