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Chapter 14 - Tracheal intubation: ‘blind’ methods

from Section 2 - Clinical

Published online by Cambridge University Press:  10 January 2011

Ian Calder
Affiliation:
National Hospital for Neurology and Royal London Hospital
Adrian Pearce
Affiliation:
Guy's and St Thomas' Hospital, London
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Summary

Blind intubation techniques remain within the CCT training syllabus in the UK and can be classified into four groups. The four groups are blind oral or nasal, retrograde, light-guided, and intubating laryngeal mask. Blind nasal intubation remains a popular and successful technique in both anaesthetised and awake patients. The term retrograde intubation is a misnomer, and it should perhaps be termed guided blind intubation or translaryngeal intubation. Retrograde techniques are relatively contraindicated when neck anatomy is unfavourable, there is infection in the neck, a bleeding diathesis or gross glottic abnormality. Light-guided intubation has been described through a supraglottic airway, and a recently developed blind intubation device (BID) incorporates a supraglottic airway with oesophageal airway component and catheter with lighted tip. Intubation through a supraglottic airway is a useful effective technique and is included in Plan B for failed direct laryngoscopy in the Difficult Airway Society guidelines.
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Publisher: Cambridge University Press
Print publication year: 2010

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