When is fiberoptic intubation used?
Fiberoptic intubation (FOI) is an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways. First described in the late 1960s, this approach can facilitate airway management in a variety of clinical scenarios given proper patient preparation and technique.
What are the indications of performing an endotracheal intubation?
The main indications for intubation are airway protection and control of the airway. Such circumstances may be: general anaesthesia, congenital malformations and diseases of the upper airway, mechanical ventilation, perinatal resuscitation and various forms of acute respiratory distress.
What is awake fibreoptic intubation?
Awake Fibreoptic Intubation (AFOI) is when a breathing tube is placed in the breathing passage through the nose or the mouth when you are awake.
How do you do Orotracheal intubation?
Under visualization, using either direct laryngoscopy or one of various types of video laryngoscopy, the ET tube is inserted into the mouth and directed into the trachea (orotracheal intubation). Less commonly, the ET tube is inserted into the nose (nasotracheal intubation).
What is the difference between Orotracheal intubation and endotracheal intubation?
The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea.
What is digital intubation?
Listen. For patients who require orotracheal intubation, digital (tactile) intubation is an alternative technique to traditional direct laryngoscopy. 1–12 This procedure involves using the index and middle fingers as a guide to blindly place the endotracheal tube into the patient’s larynx.
Which indicator below should awake intubation be considered?
Awake tracheal intubation must be considered in the presence of predictors of difficult airway management (Grade D). In an elective setting the patient should be appropriately fasted (Grade D). In the non-fasted patient, the potential for regurgitation or aspiration of gastric contents still exists even with ATI.
Does intubation require a ventilator?
When a person cannot breathe on their own or maintain an open airway, they may require intubation and the use of a ventilator. Intubation is the process of inserting a breathing tube through the mouth and into the airway.
When is a Glidescope used?
A Glidescope is a device that is used for difficult airway management. A Glidescope is a video laryngoscope that usually provides better visualization of the larynx compared with direct laryngoscopy when you need to maintain cervical immobilization, have excessive oral secretions, or anticipate a very anterior larynx.
How do you intubate a patient with a glide scope?
The Glidescope should be midline when you lift the jaw for intubation. (From Anyone Can Intubate, 5th edition, C. Whitten MD.) Always insert the GlideScope midline into the mouth looking at the patient until its tip has passed the palate.
Is intubation with the GlideScope different than direct laryngoscopy?
However, intubation with the Glidescope is very different than direct laryngoscopy. I have seen many novice Glidescope users struggle to intubate, despite having great views of the larynx. Failure to recognize the differences of using the Glidescope can make intubation not only frustrating but also hazardous to your patient.
What are the risks of using a Glidescope?
1 Potential Complications. Any intubation can cause oropharyngeal or dental trauma. 2 Tricks To Using The Glidescope Easily and Safely. Insert the Glidescope midline and rotate it over the back of the tongue. 3 Common Errors. There are several common errors that most people make when first mastering the Glidescope.
Can direct laryngoscopy be used for tracheal intubation?
Tracheal intubation is an important resuscitative procedure in emergency departments (EDs), and direct laryngoscopy has been universally used for tracheal intubation in this setting. However, in some situations, visualising the glottis might be difficult or impossible during direct laryngoscopy.