Current practice for awake fibreoptic intubation - asking the right questions

El‐Boghdadly, Kariem; Onwochei, Desire N.; Cuddihy, J.; Ahmad, Imtiaz

doi:10.1111/anae.14014

Cited by 1 publication

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A flexible fibrescope enables the operator to navigate around lesions within the upper airway and allow placement of a pre-loaded endotracheal tube once the trachea has been successfully identified. [ 20 ] NAP4 reported 18 cases where the expert reviewers believed that an awake fibreoptic intubation (AFOI) may have offered advantages over the airway management the patient received under general anaesthesia. [ 21 ]…”

Section: Advantages Of Awake Fibreoptic Intubationmentioning

confidence: 99%

“…This technique is thought to have a failure rate of 1%, ascertained in a large prospective cohort study of AFOIs. [ 20 ] It is worth noting, and remarkably reassuring, that there were no episodes of death, cannot intubate/cannot oxygenate, emergency tracheostomy or long-term sequelae in any of the failed AFOI patients. [ 20 ] Similar failure rates have been attested in retrospective case series,[ 22 23 ] demonstrating the safety of this technique in a cohort of patients with anticipated difficult airways.…”

Section: The Problem With Awake Fibreoptic Intubationmentioning

confidence: 99%

See 1 more Smart Citation

Enhancing airway assessment of patients with head and neck pathology using virtual endoscopy

2017

View full text Add to dashboard Cite

Studies have demonstrated that poor assessment and planning contribute to airway complications and that current airway assessment strategies have a poor diagnostic accuracy in predicting difficult intubation in the general population. Patients with head and neck pathology are at higher risk for difficulties during airway management and are more likely to need emergency surgical access. Therefore, thorough assessment of this group of patients is mandatory. The addition of virtual endoscopy (VE) to clinical history and computerised tomography imaging has been shown to improve diagnostic accuracy for supraglottic, glottic and infraglottic lesions and has a positive influence in formulating a more cautious and thorough airway management strategy in this high-risk group of patients. This article reviews whether VE can enhance airway assessment in patients with head and neck pathology and help reduce airway complications.

show abstract

Section: Advantages Of Awake Fibreoptic Intubationmentioning

confidence: 99%