Fiberoptic techniques

被引:57
作者
Koerner, Ines P. [1 ]
Brambrink, Ansgar M. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Anesthesiol & Perioperat Med, 3181 SW Sam Jackson Pk Rd,Mail Code NRC 5, Portland, OR 97239 USA
关键词
nasotracheal intubation; orotracheal intubation; flexible fiberoptic bronchoscope; fiberoptic laryngoscopy; fiberoptic intubation; difficult airway; emergency airway; awake intubation; topical anesthesia; intubating laryngeal mask airway; endoscopy mask; swivel adaptor; fiberscope; video-fiberscope;
D O I
10.1016/j.bpa.2005.07.006
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Fiberoptic intubation of the spontaneously breathing patient is the gold standard and technique of choice for the elective management of a difficult airway. In the hands of the properly trained and experienced user, it is also an excellent 'plan B' alternative when direct laryngoscopy unexpectedly fails. Fiberscope-assisted intubation through an endoscopy face mask, laryngeal mask airway or intubating laryngeal mask airway secures ventilation and oxygenation, and permits endotracheal intubation in airway emergency situations. Portable fiberscopes can be used in remote settings, increasing patient safety. This review discusses current fiberoptic intubation techniques and their applications in the management of both the anticipated and unanticipated difficult airway.
引用
收藏
页码:611 / 621
页数:11
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