Intubation

Davidson, J. R. T.

doi:10.1016/s0889-8537(21)00526-5

Anesthesiology Clinics of North America

1995

DOI: 10.1016/s0889-8537(21)00526-5

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Intubation

J. R. T. Davidson

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2007

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Endotracheal Intubation with Flexible Fiberoptic Bronchoscopy in Patients with Abnormal Anatomic Conditions of the Head and Neck

et al. 2007

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We perfo rmed a retrospective char t review to evaluate the indications for endotracheal intubatio n via flexi ble jiberoptic bronchoscopy in patients who were scheduled for surgery or who were hospitalized in the intensive care unit of our I,IOO-bed, tertiary care university hospital. We reviewed 9,201 clinical records of anesthetic pro cedures durin g which endotracheal intubation had been perform ed fro m Januar y to Decemb er 2002. We identified 66 patients who had been intubated withflexible jib eroptic bronchoscopy. On preanesthetic examinatio n, 61 ofthese patients fwd been fo und to be poor candidates f or conventional laryn goscopic intubat ion-51 because of abnorma l head and neck anatomy and 10 because of reduced visual access to the airway (Ma llampati class IV). The remainin g 5 patients were intubated via flexible jib eroptic bronchoscopy after conventional intubation had failed during eme rgency surgery. Our study emphasizes (1) the importan ce of the preanesthetic examination of surgical patients, to identify those in whom conventional intubation would likely be problematic, and (2) the need to havejib eroptic bronchoscopes and an anesthes iologist or bronchoscopist skilled in their use available in operating suites and intensive care units.

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Endotracheal Intubation with Flexible Fiberoptic Bronchoscopy in Patients with Abnormal Anatomic Conditions of the Head and Neck

et al. 2007

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Intubation

Cited by 1 publication

References 43 publications

Endotracheal Intubation with Flexible Fiberoptic Bronchoscopy in Patients with Abnormal Anatomic Conditions of the Head and Neck

Endotracheal Intubation with Flexible Fiberoptic Bronchoscopy in Patients with Abnormal Anatomic Conditions of the Head and Neck

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