Teaching Fibreoptic Nasotracheal Intubation With and Without Closed Circuit Television

Training in airway management

“…It allows both the trainee and the instructor to view the endoscopy simultaneously; thus the instructor can demonstrate the technique to the trainee and also offer comments and guidance when the trainee performs the procedure. Smith et al [20] showed that the use of CCTV during a graduated training programme substantially enhanced the rate of learning for nasotracheal fibreoptic intubation. They commented that it was particularly useful in the early stage of learning, but that care should be taken not to overdo the feedback to avoid creating dependence on the instruction, and that feedback should be faded out as the trainee increased in competence.…”

Orotracheal fibreoptic intubation for rapid sequence induction of anaesthesia*

“…Furthermore, if the ®brescope was used without its camera ¤ video ¤ closed circuit television arrangement, then some of the equipment problems might be avoided. The disadvantage of not using the camera is that the assistants do not know what the operator can see in the airway and may not therefore be able to assist most effectively [25]. Finally, intubating times may be shortened by using a more appropriate tracheal tube.…”

Innovations in anesthesia education: the development and implementation of a resident rotation for advanced airway management

“…50 Although all trainees eventually achieved similar rates of success, those using videoenabled systems did so after half the number of training exercises and intubation attempts; they took one-third the amount of time overall and experienced a quarter of the number of failures. The authors concluded that the use of video doubled the rate of skills acquisition by allowing more effective feedback from the mentor and more rapid development of effective movement patterns.…”