Fiberoptische Wachintubation

Abstract

Airway management is a core task for anesthesiologists. Deficiencies in training or equipment as well as fateful complications in this field are responsible for a significant proportion of anesthesia-associated morbidity and mortality. Nowadays there are a variety of advanced technical aids on the market to overcome the difficult airway. Nevertheless, the "cannot intubate cannot ventilate scenario" still occurs and regularly results in poor outcome, such as permanent neurological deficits or even death. Therefore, awake fiberoptic intubation remains the gold standard in the expected difficult airway because when applied correctly this technique never leads to a point where a patient's respiration is compromised as a result of medical measures before a secure airway has been established.

Topical Airway Anaesthesia Techniques In Dental Patients With Temporomandibular Joint Ankylosis: A Comparison Between Nebulization Versus Nerve Blocks For Awake Nasal Fiberoptic Intubation

“…Therefore fibre optic intubation remains gold standard in patients with limited mouth opening and difficult airway because when applied correctly this technique never leads to point where patients' respiration is compromised. 11 Haemodynamic responses, airway injuries, hypoxia, hypercarbia, bronchospasm and respiratory depression are well recognized hazards of patients during awake nasal intubation. 12 Awake tracheal intubation with the aid of a fiberoptic device was first described by Murphy in 1967, who used a choledochoscope to facilitate nasotracheal intubation in patients with difficult airway.…”

A comparative study of intubating condition and hemodynamic changes during blind nasal intubation versus fibre optic intubation in cases of temporo-mandibular joint ankylosis

“…Nevertheless the cannot ventilate cannot intubate scenario still occurs and regularly results in poor outcome such as permanent neurological deficit or even deaths. Therefore fibre optic intubation remains gold standard in patients with limited mouth opening and difficult airway because when applied correctly this technique never leads to point where patients' respiration is compromised 6 . Haemodynamic responses, airway injuries, hypoxia, hypercarbia, bronchospasm and respiratory depression are well recognized hazards of patients during awake nasal intubation.…”

Längenverhältnis von Trachealtubus zur Larynxmaske

“…Die fiber optisch wache Intubation [5] beim Kind ist mangels Kooperation kaum praktika bel, und Intubationslarynxmasken (LMA Fastrach™) sind erst für das Adoleszenten alter verfügbar. Die fiberoptische nasa le oder orale Intubation ist für den we nig Geübten beim anästhesierten Kind schwieriger und zeitaufwendiger.…”