Fiberoptic techniques

Ines P. Koerner, Ansgar M. Brambrink

Research output: Contribution to journalReview article

37 Scopus citations

Abstract

Fiberoptic intubation of the spontaneously breathing patient is the gold standard and technique of choice for the elective management of a difficult airway. In the hands of the properly trained and experienced user, it is also an excellent 'plan B' alternative when direct laryngoscopy unexpectedly fails. Fiberscope-assisted intubation through an endoscopy face mask, laryngeal mask airway or intubating laryngeal mask airway secures ventilation and oxygenation, and permits endotracheal intubation in airway emergency situations. Portable fiberscopes can be used in remote settings, increasing patient safety. This review discusses current fiberoptic intubation techniques and their applications in the management of both the anticipated and unanticipated difficult airway.

Original languageEnglish (US)
Pages (from-to)611-621
Number of pages11
JournalBest Practice and Research: Clinical Anaesthesiology
Volume19
Issue number4
DOIs
StatePublished - Dec 1 2005

Keywords

  • Awake intubation
  • Difficult airway
  • Emergency airway
  • Endoscopy mask
  • Fiberoptic intubation
  • Fiberoptic laryngoscopy
  • Fiberscope
  • Flexible fiberoptic bronchoscope
  • Intubating laryngeal mask airway
  • Nasotracheal intubation
  • Orotracheal intubation
  • Swivel adaptor
  • Topical anesthesia
  • Video-fiberscope

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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