TY - CHAP M1 - Book, Section TI - Chapter 21. Fiberoptic Endoscopic Intubation A1 - Reichman, Eric F. PY - 2013 T2 - Emergency Medicine Procedures, 2e 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57702188 ER -