Teaching fibreoptic intubation in anaesthetised patients

Schaefer, H. G.; Marsch, Stephan; Keller, H. L.; Strebel, S.; Anselmi, Luciano; Drewe, Jürgen

doi:10.1111/j.1365-2044.1994.tb14187.x

Cited by 37 publications

(35 citation statements)

References 17 publications

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“…In some of these, the cardiovascular changes associated with intubation were more marked in the fibreoptic group [70,71], raising ethical concerns over providing training in this method. However, other studies do not show such a marked effect [68,69,81,82] and the choice of anaesthetic technique seems to be more important than the method of intubation in this regard. Pre-oxygenation and moderate hyperventilation can be used to prolong the acceptable period of apnoea without hypoxaemia or hypercarbia [68], and mask ventilation can be reinstituted when necessary.…”

Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 98%

“…When used in anaesthetised patients, fibreoptic intubation has been shown to be slower than intubation by direct laryngoscopy [68][69][70][71], and this potential delay in securing the airway influences the anaesthetic techniques used. Two basic methods of providing general anaesthesia for fibreoptic intubation exist: a spontaneously breathing technique and a paralysed apnoeic one.…”

Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 99%

“…However, there is currently no consensus over the need for consent from the patient. Upon reviewing the literature on training in airway management, it seems that centres are divided, with some obtaining consent [62,63,69] and others not [10,88]. However, a recent survey found that patients would like specific information about any non-routine techniques, including fibreoptic intubation, that are to be performed if the main reason for performing them is for teaching or maintaining skills [94].…”

Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 99%

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Training in airway management

2002

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Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 98%

Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 99%

Section: K R Stringer Et Al Ae Training In Airway Managementmentioning

confidence: 99%

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Training in airway management

2002

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“…We conducted this study using a high fidelity simulator since it is difficult to recruit a sufficient number of patients with a consistent degree of airway difficulty and laryngoscopy grade in clinical practice [4,5]. There are ethical and practical issues in conducting trials of new equipment in patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of ease of intubation with the GlideScope^® or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy*

2005

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SummaryThe GlideScope Ò is a new video laryngoscope developed for management of the difficult airway. We compared the GlideScope with the Macintosh laryngoscope in simulated easy and difficult laryngoscopy. Twenty anaesthetists were allowed three attempts to intubate in each of four laryngoscopy scenarios in a high fidelity simulator. In the simulated easy laryngoscopy scenarios, the anaesthetists took longer to intubate using the GlideScope than the Macintosh laryngoscope (mean (SD) 19.0 (9.7) s vs. 12.7 (5.9) s, respectively; p = 0.006). There was no difference in the number of successful intubations, ease of intubation or choice of intubating device. In the simulated difficult laryngoscopy scenarios, the anaesthetists took less time to intubate using the GlideScope (23.5 (12.7) s vs. 70.5 (101.2) s, respectively; p = 0.001). The slightly higher success rate with the GlideScope was not statistically significant (20 ⁄ 20 vs. 18 ⁄ 20, respectively; p = 0.5). However, the anaesthetists found it easier to intubate using the GlideScope (median (interquartile range [range]) 1 (1-2 [1-2]) vs. 2 (2-3 [1-3]), respectively; p < 0.0001).

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“…5 Fibreoptic intubation has become a standard of practice and numerous educational resources are available, detailing relevant patient management, anatomy, endoscopic techniques and equipment. 7,[12][13][14][15] Training programs at several institutions have been described. 7,14 Workshops associated with special interest groups, institutions and international conferences are common.…”

Section: Introductionmentioning

confidence: 99%