Fiberoptic Tracheal Intubation Research Articles

A split laryngeal mask as an aid to training in fibreoptic tracheal intubation

Thirty patients were randomly allocated to one of two groups in order to compare the use of a split laryngeal mask airway with the Berman II airway as aids to training in fibreoptic laryngoscopy. In both groups anaesthesia was induced with propofol and maintained with isoflurane in N2O/O2 (FIO2 = 0.5). The fibreoptic laryngoscope was guided towards the larynx using the split laryngeal mask airway in group 1 and the Berman airway in group 2. The tracheas of all patients were successfully intubated at the first attempt and no patient's peripheral oxygen saturation decreased below 92%. Two min after intubation mean heart rate was significantly greater in group 1 (101 beat.min-1) than in group 2 (84 beat.min-1) (P < 0.05). The split laryngeal mask is a useful aid to training in fibreoptic intubation and may allow better airway control than the Berman II intubating airway.

Fiberoptic Tracheal Intubation Through the Laryngeal Mask in an Awake Patient with Cervical Spine Injury

Fiberoptic Tracheal Intubation Through the Laryngeal Mask in an Awake Patient with Cervical Spine Injury

Fiberoptic Tracheal Intubation Through the Laryngeal Mask in an Awake Patient with Cervical Spine Injury

Fiberoptic Tracheal Intubation Through the Laryngeal Mask in an Awake Patient with Cervical Spine Injury

Assessment of an angulated laryngoscope for difficult paediatric intubation

SummaryAngulated laryngoscopes with mirrors and prisms have been previously described for difficult tracheal intubation in adults, but not in children. We assessed the use of a recently described adult angulated laryngoscope (BelscopeTM) with or without prism, for difficult tracheal intubation in children. We use this laryngoscope as part of our difficult tracheal intubation regime before proceeding to other methods such as fibreoptic tracheal intubation. Children included were anticipated to be a difficult tracheal intubation from physical examination or previously had been difficult to intubate. Laryngoscopy was initially performed with a straight (Miller) or curved (Macintosh) laryngoscope. This was then repeated using the angulated laryngoscope, with prism if necessary. Degree of visualization of the larynx was scored with both methods. There was improvement in visualization in children with micrognathia, prominent maxillae or with an apparent ‘anterior larynx'. In children where there was no improvement, this laryngoscope did not actually cause a deterioration in grade of laryngoscopy.

TRAINING IN FIBREOPTIC TRACHEAL INTUBATION IN THE NORTH OF ENGLAND

Twenty-nine departments of anaesthesia in the North of England were questioned about the availability and teaching of fibreoptic tracheal intubation techniques. While 27 departments had both suitable equipment and trained consultant staff, only one offered formal teaching to all its junior anaesthetists.

Retrograde-Assisted Fiberoptic Tracheal Intubation in Children With Difficult Airways

Retrograde-Assisted Fiberoptic Tracheal Intubation in Children With Difficult Airways

A Complication of Fiberoptic Nasal Tracheal Intubation

A Complication of Fiberoptic Nasal Tracheal Intubation