Awake fibre-optic intubation

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Fibre-optic aided bougie (FAB) for simulated difficult tracheal intubation.

INTRODUCTION Difficult intubation remains a key problem and the value of the gum elastic bougie as a first approach is well recognised. MATERIALS AND METHODS A fine fibre-optic endoscope (Rapiscope, Cook Critical Care) was used in 50 patients to verify placement of a custom-designed hollow plastic bougie prior to "rail-roading" a tracheal tube. Following induction and muscle relaxation, direc...

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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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Awake orotracheal fibre-optic intubation: Comparison of two different doses of dexmedetomidine on intubation conditions in patients undergoing cervical spine surgery

Background and Aims Awake fibre-optic intubation (AFOI) is an integral part of anaesthetic management of difficult airways. Conscious sedation is essential to assist AFOI. This study compared two different doses of dexmedetomidine in combination with topical spray and airway blocks for awake orotracheal fibre-optic intubation in patients undergoing elective cervical spine surgery with rigid cer...

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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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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1998

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03013264