Exchanging a King Laryngeal Tube™ for an endotracheal tube using a fibreoptic bronchoscope−Aintree catheter combination in a known difficult airway

Hollingsworth, Jessica; Herway, Seth T.; Benumof, Jonathan L.; Finneran, John J.

doi:10.1007/s12630-016-0783-y

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…[18,19] However, little literature is present regarding the use of fiberoptic bronchoscopy for confirmation of an already placed endotracheal tube. Budde et al [20] and Hollingsworth et al [21] both reported successful use of fi beroptic bronchoscopy to conduct tube exchange from laryngeal mask airway to ET tube, which at least in theory requires bronchoscopic confi rmation of the initial tube placement. Craske et al [22] describes bronchoscopy in confirmation of a tracheostomy tube in which they thread the bronchoscopy through the tracheostomy tube in order to confirm placement.…”

Section: Discussionmentioning

confidence: 99%

Confirmation of endotracheal tube placement using disposable fiberoptic bronchoscopy in the emergent setting

Mitra¹,

Gave²,

Coolahan³

et al. 2019

World Journal of Emergency Medicine

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BACKGROUND: Patients intubated in the prehospital setting require quick and definitive confi rmation of endotracheal (ET) tube placement upon arrival to the emergency department (ED). Direct and adjunct strategies exist, but each has limitations and there is no defi nitive gold standard. The utility of bronchoscopy in ED intubation has been studied, but scant literature exists on its use for ET tube confi rmation. This study aims to assess effectiveness, ease and speed with which ET tube placement can be confi rmed with disposable fi beroptic bronchoscopy. METHODS: Emergency medicine residents recruited from a 3-year urban residency program received 5 minutes of active learning on a simulation mannequin using a disposable, fl exible Ambu aScope interfaced with a monitor. With residents blinded, the researcher randomly placed the ET tube in the trachea, esophagus or right mainstem. Residents identifi ed ET tube position by threading the bronchoscope through the tube and viewing distal anatomy. Each resident underwent 4 trials. Accuracy, speed and perceptions of diffi culty were measured. RESULTS: Residents accurately identifi ed the location of the ET tube in 88 out of 92 trials (95.7%). The median time-to-guess was 7.0 seconds, IQR (5.0-10.0). Average perceived difficulty was 1.6 on a scale from 1-5 (1 being very easy and 5 being very diffi cult). No tubes were damaged or dislodged. CONCLUSION: While simulation cannot completely replicate the live experience, fiberoptic bronchoscopy appears to be a quick and accurate method for ET tube confi rmation. Further studies directly comparing this novel approach to established practices on actual patients are warranted.

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Section: Discussionmentioning

confidence: 99%

Confirmation of endotracheal tube placement using disposable fiberoptic bronchoscopy in the emergent setting

Mitra¹,

Gave²,

Coolahan³

et al. 2019

World Journal of Emergency Medicine

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“…4 More recently, the AIC has also been demonstrated to be effective in assisting the bronchoscope-guided exchange of a King Laryngeal Tube TM (King Systems, Noblesville, IN, USA) for an endotracheal tube. 5 The AIC does, however, have a few nuances. If the AIC is loaded onto a pediatric-sized bronchoscope, it shields the shaft of the bronchoscope, which makes it difficult to control the advancement of the bronchoscope during tracheal intubation through the SGA.…”

Section: To the Editormentioning

confidence: 99%

A technique for securing the Aintree Intubation Catheter™ to a flexible bronchoscope

Phipps

Malpas

Hung

2017

Can J Anesth/J Can Anesth

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Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques

Herway

Benumof²

2017

Anesthesiology

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Exchanging a King Laryngeal Tube™ for an endotracheal tube using a fibreoptic bronchoscope−Aintree catheter combination in a known difficult airway

Cited by 7 publications

References 4 publications

Confirmation of endotracheal tube placement using disposable fiberoptic bronchoscopy in the emergent setting

Confirmation of endotracheal tube placement using disposable fiberoptic bronchoscopy in the emergent setting

A technique for securing the Aintree Intubation Catheter™ to a flexible bronchoscope

Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques

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