Awake fiberoptic endobronchial intubation

Patane, Paul S.; Sell, Brence A.; Mahla, Michael E.

doi:10.1016/0888-6296(90)90243-9

Cited by 29 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…61 The rigid fiberoptic laryngoscopes such as the Bullard and Wu scopes can be used with some DLTs. Accepted guidelines to manage the dif ficult airway must always be observed.…”

Section: Upper Airway Abnormalitiesmentioning

confidence: 99%

Lung isolation in thoracic anesthesia, state of the art

Slinger

2001

Can J Anesth

View full text Add to dashboard Cite

Although the incidence of cases with the original indications for lung isolation such as abscess and hemoptysis has decreased, lung isolation is required with increasing frequency in an ever-widening spectrum of clinical situations. The preference of anesthesiologists has oscillated between bronchial blockers and single or double-lumen tubes for the past 50 yr. At present, double-lumen tubes continue to have the widest application for providing safe reliable lung separation in the majority of cases. However the optimal method of lung isolation in any individual case will depend on multiple factors which include the patient's underlying pathology and anatomy and the skill and training of the anesthesiologist.

show abstract

“…61 The rigid fiberoptic laryngoscopes such as the Bullard and Wu scopes can be used with some DLTs. Accepted guidelines to manage the dif ficult airway must always be observed.…”

Section: Upper Airway Abnormalitiesmentioning

confidence: 99%

Lung isolation in thoracic anesthesia, state of the art

Slinger

2001

Can J Anesth

View full text Add to dashboard Cite

show abstract

“…Because of the intense laryngeal and carinal stimulation produced by intubation with a double lumen tube, this is usually performed after inducing general anaesthesia. Insertion of a double lumen tube in the awake patient has been performed safely [7] and permits subsequent neurological assessment of patients with cervical spine injuries. However, this technique requires glossopharyngeal, superior laryngeal nerve blocks and transtracheal injection for satisfactory intubating conditions.…”

Section: Discussionmentioning

confidence: 99%

Insertion of the double lumen tube in the difficult airway*

Satya-Krishna¹,

Popat

2006

Anaesthesia

View full text Add to dashboard Cite

Summary Isolation of a lung and one‐lung ventilation are commonly used during thoracic surgery. Insertion of double lumen tubes requires considerable skill and may be especially challenging in the difficult airway. We describe a method of inserting double lumen tubes in two patients with known difficult airways. This technique involves awake nasotracheal intubation followed by insertion of an oral double lumen tube under general anaesthesia.

show abstract

“…In practice there are three different ways to place a DLT in a patient with a difficult airway. The first involves the use of airway topical anesthesia and awake fiberoptic bronchoscopy with passage of the flexible fiberoptic bronchoscope through the bronchial lumen of the DLT, where the tube is advanced under bronchoscope guidance [19]. The second technique involves the use of ancillary lighted devices or video laryngoscopes that increase the visualization field of the epiglottis, vocal cords, and passage of the tube.…”

Section: Use Of a Double-lumen Endotracheal Tube In Patients With Difmentioning

confidence: 99%

Lung isolation techniques for patients with difficult airway

Campos

2010

Current Opinion in Anaesthesiology

124

View full text Add to dashboard Cite

In patients who require one-lung ventilation and who present with a difficult airway, the safest way to establish an airway is by placing a single-lumen endotracheal tube orally or nasotracheally while the patient is awake with the aid of a flexible fiberoptic bronchoscope. Lung isolation in these patients then is achieved by using an independent bronchial blocker; an alternative technique is to use a double-lumen endotracheal tube while using an airway catheter exchange technique. For the patient with a tracheostomy in place, an independent bronchial blocker is recommended.

show abstract

Awake fiberoptic endobronchial intubation

Cited by 29 publications

References 6 publications

Lung isolation in thoracic anesthesia, state of the art

Lung isolation in thoracic anesthesia, state of the art

Insertion of the double lumen tube in the difficult airway*

Lung isolation techniques for patients with difficult airway

Contact Info

Product

Resources

About