Fiberoptic Oral Intubation

Chandra, Deven B.; Savoldelli, Georges Louis; Joo, Hwan S.; Weiss, Israel D.; Naik, Viren N.

doi:10.1097/aln.0b013e31818d6c3c

Cited by 100 publications

(18 citation statements)

References 19 publications

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“…These skills transfer well to the clinical setting across different learner experience and various device and simulation modalities. 247 - 250 Unfortunately, learning patterns and curves of airway-related technical skills cannot be generalized, as they vary and depend on a clinician’s cumulative experience in the simulated and live setting. 251 - 254 There is no “magic number” for competence in using a particular device or for managing a specific situation.…”

Section: Education In Difficult Airway Managementmentioning

confidence: 99%

The difficult airway with recommendations for management – Part 1 – Difficult tracheal intubation encountered in an unconscious/induced patient

Law

Broemling²,

Cooper³

et al. 2013

Can J Anesth/J Can Anesth

329

260

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BackgroundPreviously active in the mid-1990s, the Canadian Airway Focus Group (CAFG) studied the unanticipated difficult airway and made recommendations on management in a 1998 publication. The CAFG has since reconvened to examine more recent scientific literature on airway management. The Focus Group’s mandate for this article was to arrive at updated practice recommendations for management of the unconscious/induced patient in whom difficult or failed tracheal intubation is encountered. MethodsNineteen clinicians with backgrounds in anesthesia, emergency medicine, and intensive care joined this iteration of the CAFG. Each member was assigned topics and conducted reviews of Medline, EMBASE, and Cochrane databases. Results were presented and discussed during multiple teleconferences and two face-to-face meetings. When appropriate, evidence- or consensus-based recommendations were made together with assigned levels of evidence modelled after previously published criteria.ConclusionsThe clinician must be aware of the potential for harm to the patient that can occur with multiple attempts at tracheal intubation. This likelihood can be minimized by moving early from an unsuccessful primary intubation technique to an alternative “Plan B” technique if oxygenation by face mask or ventilation using a supraglottic device is non-problematic. Irrespective of the technique(s) used, failure to achieve successful tracheal intubation in a maximum of three attempts defines failed tracheal intubation and signals the need to engage an exit strategy. Failure to oxygenate by face mask or supraglottic device ventilation occurring in conjunction with failed tracheal intubation defines a failed oxygenation, “cannot intubate, cannot oxygenate” situation. Cricothyrotomy must then be undertaken without delay, although if not already tried, an expedited and concurrent attempt can be made to place a supraglottic device.

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Section: Education In Difficult Airway Managementmentioning

confidence: 99%

The difficult airway with recommendations for management – Part 1 – Difficult tracheal intubation encountered in an unconscious/induced patient

Law

Broemling²,

Cooper³

et al. 2013

Can J Anesth/J Can Anesth

329

260

View full text Add to dashboard Cite

show abstract

“…Using simulation with low cost modules within a surgical curriculum has been shown to work. [15][16][17] Evidence suggests that learning within a system of simulation that utilizes an intense, short experience (;12 minutes) with a longer debriefing/question and answer session (;40 minutes) achieves greater long-term recall and knowledge that a learner can actively use. [18][19][20] It seems realistic that three 50-minute simulation sessions within a 3-hour period offer more educational potential and benefit than holding a retractor for 3 hours during an elective abdominal aortic aneurysm repair.…”

Section: Discussionmentioning

confidence: 99%

The rationale for combining an online audiovisual curriculum with simulation to better educate general surgery trainees

AlJamal

Ali

Ruparel

et al. 2014

Surgery

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“…Chandra and colleagues studied the effectiveness of a low fidelity versus high fidelity fiber optic intubation training model. There was no significant difference between the low fidelity ( n = 14) and high fidelity ( n = 14) model groups when comparing the global rating scale, checklist, time, and success at achieving tracheal intubation [ 45 ]. Similarly Friedman et al did not find any advantage of using HFS on pediatric residents' airway management and intubation skills when compared to low fidelity model.…”

Section: Finding the Balance Between High Versus Low Fidelitymentioning

confidence: 99%

Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We?

Green

Tariq

Green

2016

Anesthesiology Research and Practice

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There have been colossal technological advances in the use of simulation in anesthesiology in the past 2 decades. Over the years, the use of simulation has gone from low fidelity to high fidelity models that mimic human responses in a startlingly realistic manner, extremely life-like mannequin that breathes, generates E.K.G, and has pulses, heart sounds, and an airway that can be programmed for different degrees of obstruction. Simulation in anesthesiology is no longer a research fascination but an integral part of resident education and one of ACGME requirements for resident graduation. Simulation training has been objectively shown to increase the skill-set of anesthesiologists. Anesthesiology is leading the movement in patient safety. It is rational to assume a relationship between simulation training and patient safety. Nevertheless there has not been a demonstrable improvement in patient outcomes with simulation training. Larger prospective studies that evaluate the improvement in patient outcomes are needed to justify the integration of simulation training in resident education but ample number of studies in the past 5 years do show a definite benefit of using simulation in anesthesiology training. This paper gives a brief overview of the history and evolution of use of simulation in anesthesiology and highlights some of the more recent studies that have advanced simulation-based training.

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Fiberoptic Oral Intubation

Cited by 100 publications

References 19 publications

The difficult airway with recommendations for management – Part 1 – Difficult tracheal intubation encountered in an unconscious/induced patient

The difficult airway with recommendations for management – Part 1 – Difficult tracheal intubation encountered in an unconscious/induced patient

The rationale for combining an online audiovisual curriculum with simulation to better educate general surgery trainees

Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We?

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