What is a fiberoptic intubation?
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.
How do you do fiberoptic intubation?
Fiberoptic intubation is a technique in which a flexible endoscope with a tracheal tube loaded along its length is passed through the glottis. The tracheal tube is then pushed off the endoscope and intothe trachea, and the endoscope is withdrawn.
What is awake fiberoptic 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.
What are three types of intubation tubes?
Types of endotracheal tubes include oral or nasal, cuffed or uncuffed, preformed (e.g. RAE (Ring, Adair, and Elwyn) tube), reinforced tubes, and double-lumen endobronchial tubes.
What is a fiberoptic scope?
Fiberoptic bronchoscopes are currently used to facilitate endotracheal intubation via either the nasal or oral route, in the positioning of endotracheal and endobronchial tubes and bronchial blocking devices, and in airway examination or evaluation.
What is Fibre optic bronchoscope?
Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument (bronchoscope) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy.
Can you intubate a conscious person?
So who can be intubated awake? Any patient except the crash airway can be intubated awake. If you think they are a difficult airway, temporize with NIV while you topically anesthetize and then do the patient awake while they keep breathing.
What is nasopharyngoscopy procedure?
A nasopharyngoscopy is a procedure in which the doctor inserts a flexible scope tube through your nose and advances it into the back of your throat.
Why is nasopharyngoscopy done?
Doctors use nasopharyngoscopy to: find the location and see the size of the gap that’s letting air leak through the nasal cavity. see how the palate and other parts of the mouth move during speech. diagnose a submucous cleft palate.
What is the complications of bronchoscopy?
Mechanical complications of fiberoptic bronchoscopy include oro- or nasopharyngeal, vocal cord, and airway trauma as well as bronchospasm, laryngospasm, pulmonary derecruitment/atelectasis, pneumothorax, airway hemorrhage, and introduction or exacerbation of infection.
How is a fiberoptic scope used in tracheal intubation?
Fiberoptic intubation inserts an ET tube over the shaft of a flexible fiberoptic scope for visualization. Tracheal intubation, also called intubation, involves placing a flexible plastic tube (endotracheal [ET] tube) into the trachea (windpipe) to maintain an open airway, ventilate the lungs, or administer certain drugs.
How is video laryngoscopy used in intubation?
The images and video also help monitor disease progression and treatment. The images are magnified when displayed on the monitor, which helps in the detailed examination of the larynx. Video laryngoscopy forms the basis of fiberoptic intubation.
Why is endotracheal intubation used for congestive heart failure?
Endotracheal intubation is the safest way of providing breathing support to COVID-19 coronavirus disease patients who have severe lung symptoms. Heart failure (congestive) is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart.
How is Nasal intubation done with general anesthesia?
Nasal intubation with general anesthesia: The technique of intubating nasally with the patient under general anesthesia is similar to that of awake intubation. After general anesthesia is induced, the patient is mask-ventilated in the supine position. Oral intubation with sedation: Oral intubation is usually performed with the patient sedated.
