التفاصيل البيبلوغرافية
| العنوان: |
The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation. |
| المؤلفون: |
Breazu CM; 1st Department of Anesthesia and Intensive Care, 'Iuliu Haţieganu' University of Medicine and Pharmacy; Research Association in Anesthesia and Intensive Care (ACATI); Department of Anesthesia and Intensive Care 'Clinicilor 4-6', Cluj County Emgency Clinical Hospital., Marchis IF; Research Association in Anesthesia and Intensive Care (ACATI); Department of Anesthesia and Intensive Care 'Clinicilor 4-6', Cluj County Emgency Clinical Hospital; 'Iuliu Haţieganu' University of Medicine and Pharmacy; marchis.ioan@umfcluj.ro., Negrut MF; 'Iuliu Haţieganu' University of Medicine and Pharmacy., Crihan M; 1st Department of Anesthesia and Intensive Care, 'Iuliu Haţieganu' University of Medicine and Pharmacy; Research Association in Anesthesia and Intensive Care (ACATI); Department of Anesthesia and Intensive Care, 'Prof. Dr. Octavian Fodor' Regional Institute of Gastroenterology and Hepatology., Alexa AL; 1st Department of Anesthesia and Intensive Care, 'Iuliu Haţieganu' University of Medicine and Pharmacy; Research Association in Anesthesia and Intensive Care (ACATI); Department of Anesthesia and Intensive Care, 'Prof. Dr. Octavian Fodor' Regional Institute of Gastroenterology and Hepatology., Blebea CM; Otorhinolaryngology Department, 'Iuliu Hatieganu' University of Medicine and Pharmacy. |
| المصدر: |
Journal of visualized experiments : JoVE [J Vis Exp] 2024 Aug 02 (210). Date of Electronic Publication: 2024 Aug 02. |
| نوع المنشور: |
Journal Article; Video-Audio Media |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: MYJoVE Corporation Country of Publication: United States NLM ID: 101313252 Publication Model: Electronic Cited Medium: Internet ISSN: 1940-087X (Electronic) Linking ISSN: 1940087X NLM ISO Abbreviation: J Vis Exp Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: [Boston, Mass. : MYJoVE Corporation, 2006]- |
| مواضيع طبية MeSH: |
Intubation, Intratracheal*/instrumentation , Intubation, Intratracheal*/methods , Laryngoscopes*, Humans ; Wakefulness |
| مستخلص: |
Difficulties or failures in securing the airway still occur and can lead to permanent disabilities and mortality. Patients with head and neck pathologies obstructing airway access are at risk of airway management failure once they lose spontaneous respiration. Awake flexible scope intubation is considered the gold standard for controlling the airway in such patients. Following a feasibility trial involving 25 patients with challenging airways, this article presents a step-by-step protocol for awake nasotracheal intubation using a flexible video rhino-laryngoscope, which is significantly shorter than conventional intubating flexible scopes. The flexible video laryngoscope only exceeds the intubating tube length by a few centimeters, allowing the tube to closely follow the flexible scope during the procedure. Once the scope reaches the pharynx, it can be easily manipulated with one hand, enabling the operator to focus on the safe advancement of the scope-intubating tube assembly through the glottis. Based on previous results and experience gained, this article highlights the potential benefits of the technique: the opportunity for a minimally invasive "quick look" preoperatively to establish a final management plan, a more convenient and safer tool for navigating distorted anatomy with a lower chance of intubating tube impingement and airway injury, and a fast and smooth procedure resulting in improved patient satisfaction. |
| تواريخ الأحداث: |
Date Created: 20240819 Date Completed: 20240819 Latest Revision: 20240819 |
| رمز التحديث: |
20240819 |
| DOI: |
10.3791/66875 |
| PMID: |
39158288 |
| قاعدة البيانات: |
MEDLINE |
