RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57702188
T1 Chapter 21. Fiberoptic Endoscopic Intubation
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57702188
RD 2024/04/19
AB The  flexible  fiberoptic  bronchoscope  is  a  useful  instrument  for  placing  endotracheal  (ET)  tubes  in  awake  and  nonparalyzed  patients  who  may  have  contraindications  to  paralysis,  as  well  as  in  patients  undergoing  rapid  sequence  intubation  when  other  means  of  orotracheal  intubation  have  failed.  The  device  is  unique  in  that  its  flexible  cord  allows  it  to  conform  to  the  patient's  anatomy,  making  intubation  possible  in  a  variety  of  clinical  situations  when  intubation  by  direct  laryngoscopy  is  likely  to  be  difficult  or  impossible.  It  is  most  useful  in  performing  awake  intubations  as  it  is  accepted  by  more  patients  and  is  associated  with  fewer  complications  than  awake  laryngoscopy.1  Proficiency  in  the  skills  required  for  fiberoptic  intubation  requires  both  instruction  and  practice.2  Technical  problems  and  failure  to  successfully  intubate  patients  using  this  technique  are  usually  due  to  a  lack  of  familiarity  and  expertise  with  the  fiberoptic  bronchoscope,  using  it  in  the  wrong  clinical  setting,  and  inadequate  patient  preparation.