Intubation fibroscopique sous ventilation non invasive avec un masque facial endoscopique

Conceiçao, M Da; Favier, J.-C.; Bidallier, I; Armanet, L; Steiner, Thierry; Genco, G.; Pitti, R.

doi:10.1016/s0750-7658(02)00604-4

Cited by 19 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Da Conceiçao et al ., have described the use of an airway endoscopy mask for fiber-optic intubation in adults. [ 11 ] Dexmedetomidine and ketamine provided sedation without cardiorespiratory compromise. We used the microlaryngeal tube since a 5.0 cuffed nasal endotracheal tube was not available at that time.…”

Section: Discussionmentioning

confidence: 99%

Emergent airway management in a case of fibrodysplasia ossificans progressiva

Parekh

Read

Desai

et al. 2014

J Anaesthesiol Clin Pharmacol

View full text Add to dashboard Cite

Fibrodysplasia ossificans progressiva (FOP), or Stone man syndrome, is rare and one of the most disabling genetic conditions of the connective tissue due to progressive extraskeletal ossification. It usually presents in the first decade of life as painful inflammatory swellings, either spontaneously or in response to trauma, which later ossify and lead to severe disability. Progressive spinal deformity including thoracolumbar kyphoscoliosis leads to thoracic insufficiency syndrome, increasing the risk for pneumonia and right sided heart failure. We present the airway management in a 22-year-old male, diagnosed with FOP with severe disability, who required urgent airway intervention as a result of respiratory failure from pnuemonia. Tracheostomy triggers ossification and consequent airway obstruction at the tracheostomy site and laryngoscopy triggers temporomandibular joint ankylosis. Therefore, awake fiber-optic endotracheal intubation is recommended in these patients. Use of an airway endoscopy mask enabled us to simultaneously maintain non-invasive ventilation and intubate the patient in a situation where tracheostomy needed to be avoided.

show abstract

Section: Discussionmentioning

confidence: 99%

Emergent airway management in a case of fibrodysplasia ossificans progressiva

Parekh

Read

Desai

et al. 2014

J Anaesthesiol Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…The incidence rate of respiratory inhibition in patients who underwent awake nasal intubation with endoscopic mask was 0% in the pilot study [7, 8], while the same rate with the use of nasal catheters was 12.5% in a previous study [8]. A minimum of 24 subjects needed to be enrolled in the awake nasal intubation group, with an estimated subject attrition rate of 15%, and so the final requirement was for 28 patients.…”

Section: Methodsmentioning

confidence: 99%

Clinical application of a novel endoscopic mask: a randomized controlled, multi-center trial in patients undergoing awake fiberoptic bronchoscopic intubation

Zou

Huang

et al. 2017

BMC Anesthesiol

View full text Add to dashboard Cite

BackgroundAwake fiberoptic bronchoscopic tracheal intubation is usually regarded as an effective method in the management of predicted difficult airway. Hypoxia during awake nasal fiberoptic bronchoscopic intubation leads to discontinuation of the procedure, prolonged manipulation time and increased risk of severe complications. The main aim of the study was to test whether the novel endoscopic mask is helpful for hypoxia during the intubation.MethodsThis was a randomized, controlled, multi-center study. 55 patients were recruited, but one patient was lost to follow-up. Finally, 54 patients (19 man and 35 women) were analyzed. After entering the operating room, nasal catheter oxygen-providing was given in the control group, and the treatment group received endoscopic mask oxygen-providing, with a flow rate of 3 L/min, lasting into the end of the intubation. Primary outcomes included mean arterial pressure, heart rate, minimum pulse oxygen saturation and incidence of pulse oxygen saturation ≤ 90%. Secondary outcomes included number of intubation attempts and time to intubation. All outcomes were finally measured.ResultsMinimum pulse oxygen saturation during awake nasal fiberoptic bronchoscopic tracheal intubation was significantly higher in the endoscopic mask intubation group (91.7% ± 4.7%) than that the nasal catheter intubation group (87.6% ± 8.2%, P = 0.031. Furthermore, the incidence of pulse oxygen saturation ≤ 90% was significantly lower in the endoscopic mask intubation group (20.0%, 5/25) than that in the nasal catheter intubation group (51.7%, 15/29, P = 0.037). But mean arterial pressure of during intubation was significantly higher in the endoscopic mask group (100.0 ± 13.3 vs 90.3 ± 21.8, P = 0.049). In addition, there were no differences in the number of intubation attempts (P = 0.45) or time to intubation between the two groups (P = 0.38).ConclusionsThe endoscopic mask was safely used in awake fiberoptic bronchoscopic tracheal intubation, with advantages of stable blood pressure and potential prevention of desaturation. Beginners for the intubation procedure and patients at high risk of hypoxia could benefit from the use of the endoscopic mask.Trial registrationTrial registration: www.chictr.org.cn. Registration No.: ChiCTR-TRC-13004086. Date of Registration: 8th, Sep, 2013.

show abstract

“…D'autres sédatifs sont utilisables pour l'intubation sous fibroscope : neuroleptiques, benzodiazépines, étomidate, kétamine [3]. Tous ont pour inconvénient un risque de mémorisation, et de désaturation ou d'hypersalivation qui peuvent gêner la procédure.…”

Section: Autres Agents Intraveineuxunclassified

“…La pression positive a pour inconvénient une insufflation possible dans l'estomac, avec un risque d'inhalation secondaire. En réanimation, il est possible d'employer ce type de masque pour l'intubation difficile [1,3]. D'autres masques existent comme l'Explorer Endoscopy Mask TM (Laboratoires Intersurgical, Wokingham, Grande Bretagne) (Fig.…”

Section: Masque Facialunclassified

“…Pour éviter les épi-sodes de désaturation, l'intubation fibroscopique peut être sécurisée par une ventilation non invasive (VNI) [1] ou par ventilation assistée au ballon, en employant dans chaque cas de figure un masque spécifique permettant l'endoscopie. Un masque d'endoscopie spécifique permet l'intubation fibroscopique tout en continuant l'assistance ventilatoire [2,3] …”

unclassified

See 1 more Smart Citation

Fibro-intubation

Favier

Conceiçao²,

Levron

et al. 2015

Le Praticien en Anesthésie Réanimation

View full text Add to dashboard Cite

Disponible sur Internet le 23 janvier 2015 MOTS CLÉSFibroscopie ; Fibrointubation ; Intubation difficile Résumé L'intubation sous contrôle fibroscopique est la technique de référence en cas d'intubation difficile prévue. Elle peut être effectuée sous anesthésie locale mais bénéficie le plus souvent d'une sédation. La sédation peut être effectuée par voie intraveineuse avec du propofol et/ou du remifentanil le plus souvent. L'emploi du sévoflurane est possible. Au cours de l'intubation, la ventilation peut être sécurisée par un masque de VNI muni d'un orifice d'introduction du fibroscope. La voie nasale est privilégiée car la voie orale demande plus de temps et nécessite un guide pour la sonde mais elle est moins traumatisante.Summary Fiberoptic intubation in the gold standard in case of predicted difficult intubation. It can be performed under local anaesthesia but most of the time it is done under sedation, using propofol, remifentanil or even inhaled sevoflurane. During intubation, non-invasive ventilation can be performed through specific masks allowing the introduction of the fiberoptic. The nasal route is more frequently used than the oral route that requires more time, and has to be guided with an oral device, although it would be less traumatic.

show abstract

Intubation fibroscopique sous ventilation non invasive avec un masque facial endoscopique

Cited by 19 publications

References 20 publications

Emergent airway management in a case of fibrodysplasia ossificans progressiva

Emergent airway management in a case of fibrodysplasia ossificans progressiva

Clinical application of a novel endoscopic mask: a randomized controlled, multi-center trial in patients undergoing awake fiberoptic bronchoscopic intubation

Fibro-intubation

Contact Info

Product

Resources

About