2019
DOI: 10.11622/smedj.2018081
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Fibreoptic intubation in airway management: a review article

Abstract: Since the first use of the flexible fibreoptic bronchoscope, a plethora of new airway equipment has become available. It is essential for clinicians to understand the role and limitations of the available equipment to make appropriate choices. The recent 4th National Audit Project conducted in the United Kingdom found that poor judgement with inappropriate choice of equipment was a contributory factor in airway morbidity and mortality. Given the many modern airway adjuncts that are available, we aimed to defin… Show more

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Cited by 70 publications
(49 citation statements)
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“…In recent years, many devices have been invented to help anesthesiologists overcome difficult airway management. Video-assisted laryngoscope and laryngeal mask airway help us greatly, whereas the fiberoptic bronchoscope maintains its important role or is used as a rescue approach in failed attempts [ 2 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…In recent years, many devices have been invented to help anesthesiologists overcome difficult airway management. Video-assisted laryngoscope and laryngeal mask airway help us greatly, whereas the fiberoptic bronchoscope maintains its important role or is used as a rescue approach in failed attempts [ 2 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…A method that similarly increases the distance between the patient and operator is flexible bronchoscopic intubation (by experienced operators) under anesthesia with deep muscle relaxation. 3 We would also like to emphasize that if a video laryngoscope is used, it is preferential not to use its integrated oxygen channel if present (APA Oxy Blade TM ; Venner Medical Pte Ltd, Singapore) as the extraneous flow of oxygen may increase aerosol generation rather than reduce it. Nor should stylets or flexible bronchoscopes have oxygen insufflated through their central channels.…”
mentioning
confidence: 99%
“…In another variation of technological enhancement in anaesthetic practices, the use of newer airway devices has increasingly helped to avert morbidity and mortality in-and outside of operating theatres. Wong et al (7) presented a comprehensive review of a topic that is close to the heart of many anaesthetists. Every anaesthetist would have had an unforgettable 'airway patient' or airway-related near miss.…”
mentioning
confidence: 99%
“…The advent of supraglottic airway devices has saved many lives over the years; (8) the preponderance of videolaryngoscopes and flexible fibreoptic bronchoscopes has helped to intubate many difficult tracheas. In their article, Wong et al (7) discussed the indications, contraindications, limitations and complications associated with fibreoptic bronchoscopy. Importantly, they made references to recent airway algorithms (from the United Kingdom's Difficult Airway Society and the American Society of Anesthesiologists) (9) and the 4th National Audit Project from the United Kingdom's Royal College of Anaesthetists on major airway complications.…”
mentioning
confidence: 99%
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