Training in fibreoptic intubation

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Awake fibreoptic intubation for airway burns.

A young adult was admitted to a casualty department with severe burns sustained in a motor vehicle fire. His airway was initially patient, but in grave danger of obstruction due to inhalational injury. Conventional methods of airway management were unable to guarantee a patent airway and a novel approach is described.

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Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects.

BACKGROUND We describe a practical method of training anaesthetists in the technique of awake fibreoptic intubation. This is performed on a training course using the delegates as subjects. METHODS The first 15 subjects underwent cardiovascular monitoring during airway fibreoptic endoscopy performed by other course members. They were subsequently interrogated by use of a questionnaire. RESUL...

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Complications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course.

BACKGROUND Two hundred anaesthetists underwent airway endoscopy and attempted awake fibreoptic intubation (FOI) on a training course. Complications were recorded and each subject's response to the procedure was assessed. METHODS Topical airway local anaesthesia was produced with up to 9 mg kg(-1) of lidocaine, sedation was not used. Complications during and after the procedure were noted. Lat...

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The intubating laryngeal mask airway in failed fibreoptic intubation.

PURPOSE Prediction of difficult tracheal intubation is not always reliable and management with fibreoptic intubation is not always successful. We describe two cases in which blind intubation through the intubating laryngeal mask airway (ILMA FasTrach) succeeded after fibreoptic intubation failed. CLINICAL FEATURES The first patient, a 50 yr old man, was scheduled for elective craniotomy for i...

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Fibreoptic intubation--a case series and brief review.

Fibreoptic intubation has been established as a major advance in the management of difficult or failed intubation in the awake patient. If necessary, it may be performed under general anaesthesia with either spontaneous or controlled ventilation. This should be considered early in the management of failed intubation, before multiple attempts with other techniques lead to haemorrhage and oedema ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1986

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1986.tb13025.x