When do you do awake fiberoptic intubation?
Awake Fiberoptic Intubation Awake intubation is used in patients with a predicted difficult airway or an unstable cervical spine. This technique allows patients to maintain their own airway until intubation is achieved, thereby greatly reducing the risk for aspiration: risk.
What does fiberoptic intubation mean?
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 is the step before intubation?
Intubation Steps Before intubation, the patient is usually sedated or not conscious, allowing their mouth and airway to relax.
What is a fiberoptic laryngoscopy?
Fiberoptic laryngoscopy is a diagnostic test that uses a thin tube with a light source and camera attached at its tip to help the doctor inspect your throat for problems. The procedure is performed to examine the back of the throat and vocal cords.
What is fiber optic intubation?
What is a fiberoptic scope?
A fiberscope is a flexible instrument that is constructed of a coherent fiber optic image guide that is used to inspect remote areas. A fiberscope is inserted into the item without destroying or disassembling the item of interest.
What is a throat scope procedure?
Laryngoscopy is a procedure a doctor uses to look at the larynx (voice box), including the vocal cords, as well as nearby structures like the back of the throat.
How is nasal fiberoptic intubation done?
Nasal FOI can be done both awake and under general anesthesia. As with oral FOI, the key to success in an awake nasal fiberoptic intubation is adequate topical anesthesia. (And, as with anything in anesthesia, there is more than one way to do this procedure.)
How do you intubate under general anesthesia for FOI?
Nasal FOI under general anesthesia. The technique of intubating nasally with the patient under general anesthesia differs only slightly from that of an awake intubation. Apply topical vasoconstrictor before the patient is sedated. After general anesthesia is induced, mask ventilate the patient in the supine position.
How do you dilate the nasal passage for intubation?
Spray afrin and lidocaine in the nose, dilate the nasal passage with nasal trumpets (28-34 French) See optimal positioning: Positioning for awake sitting nasotracheal intubation alternatively: Elevate the head of bed to reduce obstruction – have the patient almost sitting upright, change height of bed so nose is even with your shoulder
Do you have a Plan B for fibreoptic intubation?
Plan B It may not be possible to do a successful fibreoptic Make sure you have a Plan B No technique is failsafe An awake fibreoptic intubation is not the only answer to a difficult airway Glidescope-assisted Fibreoptic Intubation Can be done with patient awake (with suitable topicalisation) or asleep. Option 1