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Fibre optic guided nasal intubation—shouldn'st we be the experts?

Published online by Cambridge University Press:  29 June 2007

M. J. Gleeson ,
M. Z. Stodlak  and
C. L. Wengarf
M. J. Gleeson*
Affiliation:
London
M. Z. Stodlak
Affiliation:
London
C. L. Wengarf
Affiliation:
London
*
Michael Gleeson, Senior Registrar—E.N.T. Department, Guy's Hospital, St. Thomas Street, London SE1 9RT.
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Abstract

Difficult intubations are more common in otolaryngological practice than any other branch of medicine or surgery. The majority of these are predictable. It is the unexpected intubational failure, usually in a patient undergoing treatment for an unrelated problem, that results in tragedy. In this paper the indications for fibre optic guided intubation are discussed, and the technique described and illustrated in a case of pharyngeal obstruction secondary to an epiglottic cyst. It is suggested that our expertise to operate within the upper airway should be exploited to the advantage of our patients, and of our anaesthetic and surgical colleagues.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 99 , Issue 8 , August 1985 , pp. 775 - 778
Copyright
Copyright © JLO (1984) Limited 1985

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References

Akinyemi, O. O. (1979) Complications of guided blind endotracheal intubation. Anaesthesia, 34: 590–592.CrossRefGoogle ScholarPubMed
Bearman, A. J. (1962) Device for nasotracheal intubation. Anaesthesiology, 23: 130–131.Google ScholarPubMed
Brantigan, C. D., and Grow, J. B. (1976) Cricothyroidotomy: Elective use in respiratory problems requiring tracheostomy. Journal of Thoracic and Cardiovascular Surgery, 71: 72.CrossRefGoogle Scholar
Edens, E. T., and Sia, R. L. (1981) Flexible fibre optic endoscopy in difficult intubations. Annals of Otology, Rhinology and Laryngology, 90: 307–309.CrossRefGoogle ScholarPubMed
Gold, M. I., and Buechel, D. R. (1960) A method of blind nasal intubation for the conscious patient. Anaesthesia and Analgesia, 39:257–263.CrossRefGoogle ScholarPubMed
Hutchinson, J. C., Calderelli, D. D., Penfield-Faber, L., and Friedberg, S. A. (1977) Alternative uses for the flexible fibre optic bronchoscope in otolaryngology. Laryngoscope, 87: 180–186.CrossRefGoogle ScholarPubMed
Messeter, K. H., and Petterson, K. I. (1980) Endotracheal intubation with the fibre optic bronchoscope. Anaesthesia, 35: 294–298.CrossRefGoogle ScholarPubMed
Ovassapian, A., Yelich, S. J., Dykes, M. H., and Bronner, E. E. (1983) Fibre optic nasotracheal intubation—incidence and causes of failure. Anaesthesia and Analgesia, 62: 692–695.CrossRefGoogle ScholarPubMed
Spoerel, W. E., and Greenway, R. E. (1973) Technique of ventilation during endolaryngeal surgery under general anaesthesia. Canadian Anaesthesia Society Journal, 20: 369–377.CrossRefGoogle ScholarPubMed
Tahir, A. H. (1970) A simple manoeuvre to aid the passage of a nasotracheal tube into the oropharynx. British Journal of Anaesthesia, 42: 631–632.CrossRefGoogle ScholarPubMed
Waters, D. J. (1963) Guided blind endotracheal intubation for patients with deformities of the upper airway. Anaesthesia, 2: 158–162.CrossRefGoogle Scholar