Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Chapter 16 - Tracheal Intubation Using the Flexible Optical Bronchoscope
from Section 1 - Airway Management: Background and Techniques
Published online by Cambridge University Press: 03 October 2020
Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Summary
The flexible optical bronchoscope has unparalleled utility for difficult airway management and is part of every difficult airway management algorithm. The device can facilitate intubation for patients with airway tumours and bony or soft tissue abnormalities. It provides continuous visualisation of the airway during management, can be used to deliver local anaesthetics to the airway and is relatively less traumatic compared to other devices. Mastery of the device requires significant practice and the practitioner must use the device regularly to maintain skills. Several tips for success and pitfalls to be avoided are discussed.
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- Core Topics in Airway Management , pp. 140 - 152Publisher: Cambridge University PressPrint publication year: 2020
References
Further Reading
Asai, T, Shingu, K. (2004). Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope. Incidence, causes and solutions. British Journal of Anaesthesia, 92, 870–881.Google Scholar
Du Rand, IA, Blaikley, J, Booton, R, et al. (2013). British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE. Thorax, 68(Suppl 1), i1–i44.CrossRefGoogle ScholarPubMed
Johnson, DM, From, AM, Smith, RB, From, RP, Maktabi, MA. (2005). Endoscopic study of mechanisms of failure of endotracheal tube advancement into the trachea during awake fiberoptic orotracheal intubation. Anesthesiology, 102, 910–914.Google Scholar
Law, JA, Morris, IR, Brousseau, PA, de la Ronde, S, Milne, AD. (2015). The incidence, success rate, and complications of awake tracheal intubation in 1,554 patients over 12 years: an historical cohort study. Canadian Journal of Anaesthesia, 62, 736–744.CrossRefGoogle Scholar
Marfin, AG, Iqbal, R, Mihm, F, et al. (2006). Determination of the site of tracheal tube impingement during nasotracheal fibreoptic intubation. Anaesthesia, 61, 646–650.Google Scholar
Ovassapian, A. (1996). Fibreoptic Endoscopy and the Difficult Airway. 2nd Ed. Philadelphia: Lippincott-Raven.Google Scholar