Continuous mask ventilation during intubation by fiberoptic bronchoscope

Intubation in Operating Room versus Intensive Care: Reply

“…by Nelson and Butterworth, which was published in the October 2018 issue of Anesthesiology, commenting on our recent publication examining the relationship between participation and performance in the Maintenance of Certification in Anesthesiology program and medical license actions against anesthesiologists. 1 As evidenced by this and several other publications, [2][3][4][5][6] the American Board of Anesthesiology (Raleigh, North Carolina) is committed to a rigorous and transparent evaluation of Maintenance of Certification in Anesthesiology. The carefully crafted title asks a rhetorical question using the hyperbolic word "amok," effectively calling into question the purpose and vision of Maintenance of Certification in Anesthesiology.…”

“…The method consists of an anesthesia mask that can ventilate during tracheal intubation with a fiberoptic bronchoscope. 4 They described this technique in their letter to the editor; however, the authors did not report whether this technique was used in surgery anesthetized patients, hypoxic patients, critically ill patients, obesity patients, or awake patients. Similar endoscopic masks like the Patil mask have been described in the literature to overcome the problem of ventilation during fiberoptic intubation.…”

A strategy for securing a definitive airway after successful rescue by supraglottic airway device: TABASCO

“…We fully agree with the remarks regarding removal of the supraglottic device after having performed tracheal intubation through a SAD. 2 This is perhaps the most difficult part of the technique, and we would advise that the SAD is left in place until an anesthesiologist well experienced in the technique is present. An endoscopy mask is easier to remove, but also here care must be taken to ensure ETT dislodgement does not occur.…”

“…The TABASCO technique does not facilitate placement of a nasal tube. 2 If a reinforced ETT is needed, one must select a type which permits the 15 mm ETT connector to be removed if one wishes to remove the SAD after tracheal intubation. The Teleflex© reinforced ETT type with a soft tip has a removable connector and is the model we use at our department for this purpose.…”