Flexible fibre-optic intubation

Wylie, Sandi; Calder, Ian

doi:10.1016/j.mpaic.2014.04.012

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…In the present study, several patients felt that the worst part of the whole procedure was discomfort following application of the local anaesthetic, including pain, coughing, and feelings of suffocation. In general, the nasal awake intubation procedure has been described as more comfortable compared to the oral procedure, due to the lower risk of stimulating the gag reflex [2]. However, this difference was not shown in our study, possible due to the small sample size.…”

Section: Discussioncontrasting

confidence: 64%

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Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

et al. 2015

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BackgroundAwake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure.MethodsA qualitative, descriptive design was used and patients were recruited from three county hospitals and one university hospital in Sweden. Data was collected by semi-structured interviews with 13 patients who underwent awake fiberoptic intubation. A qualitative content analysis extracted theme, categories, and subcategories.ResultsFrom the patient statements, one main theme emerged, feelings of being in a vulnerable situation but cared for in safe hands, which were described in five categories with 15 subcategories. The categories were: a need for tailored information, distress and fear of the intubation, acceptance and trust of the staff’s competence, professional caring and support, and no hesitation about new awake intubation. The patients felt they lacked information about what to expect and relied on the professionals’ expertise. Some patients felt overwhelmed by the information they were given and wanted less specific information about the equipment used but more information about how they would be cared for in the operating room. Undergoing awake intubation was an acceptable experience for most patients, whereas others experienced it as being painful and terrifying because they felt they could not breathe or communicate during the procedure itself.ConclusionsTailored information about what to expect, ensuring eye contact and breathing instruction during the procedure seems to reduce patient distress when undergoing awake fiberoptic intubation. Most of the patients would not hesitate to undergo awake intubation again in the future if needed.

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Section: Discussioncontrasting

confidence: 64%

“…Awake fiberoptic intubation via either the nasal or oral route is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected [1, 2]. Almost 500 000 general anaesthetic procedures are performed annually in Sweden [3].…”

Section: Introductionmentioning

confidence: 99%

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

et al. 2015

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Components contributing to garbage odor in living environment

Sasaki

2020

Indoor Environment

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Wed e t e r mi n e dt h ec o mp o n e n t s r e s p o n s i b l ef o r g a r b a g eo d o r i ns e v e nh o u s e h o l d s ( S a mp l e s A-G) b yp e r f o r mi n gg a s c h r o ma t o g r a p h y -ma s ss p e c t r o me t r y( GC / MS ) . T h eGC / MSr e s u l t so fS a mp l eA i d e n t i f i e dt woc o mp o n e n t s : e t h a n o l a n de t h y l a c e t a t e . Ho we v e r , t h e s ed i dn o t c o n t r i b u t et ot h eg a r b a g eo d o r . Ne x t , wec o n d u c t e dg a sc h r o ma t o g r a p h yo l f a c t o me t r y( GC / O) , f o rS a mp l eA, a n dd e t e r mi n e dd i a c e t y l , 3 -me t h y l -1 -b u t a n o l , a c e t i ca c i d , a n di s o b u t y r i ca c i d , wh i c hwe r en o t d e t e c t e db yGC / MS . Wh e nwec a l c u l a t e dt h ec o n t e n t a n dt h r e s h o l dd i l u t i o nr a t i oo f t h e s ef o u r o d o r c o mp o n e n t si na l l s a mp l e s , d i a c e t y l , 3 -me t h y l -1 -b u t a n o l , a n da c e t i ca c i dwe r ed e t e c t e di na l l s a mp l e s , a mo n gwh i c h d i a c e t y l s h o we dt h eh i g h e s t t h r e s h o l dd i l u t i o nr a t i o . T h u s , o n eo ft h ec o mp o n e n t sc o n t r i b u t i n gt og a r b a g eo d o rwa s c o n f i r me dt ob ed i a c e t y l . S a mp l eDh a dt h eh i g h e s t t h r e s h o l dd i l u t i o nr a t i oo f d i a c e t y l a mo n ga l l s a mp l e s ; h o we v e r , t h es a mp l emo s t a s s o c i a t e dwi t hg a r b a g eo d o r wa s S a mp l eA. T h e r e f o r e , t h er e s u l t s i n d i c a t et h a t g a r b a g eo d o r i s c o mp l e x , a n di t si n t e n s i t yd e p e n d so nt h ec o mp o n e n t s .

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Flexible fibre-optic intubation

Cited by 2 publications

References 7 publications

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

Components contributing to garbage odor in living environment

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