Fiberoptic Intubation and its role in management of difficult airway in awake Patients

Document Type : Review Articles

Authors

1 Assistant professor of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

2 Anesthesia, Intensive care and pain management Department, Faculty of Medicine, Benghazi University-Libya

3 Professor of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

4 Lecturer of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Abstract

Background: There have been numerous advancements in airway equipment since the flexible fiberoptic bronchoscope was initially used. Clinicians must be aware of the functions and constraints of the equipment that is currently on the market in order to make the best decisions. Poor judgment combined with the wrong equipment selection was revealed to be a contributing factor in airway morbidity and mortality in the United Kingdom's Fourth National Audit Project. For the evaluation, diagnosis, and treatment of patients with respiratory diseases, flexible bronchoscopy (FB) is a common and safe procedure. Since Facebook was first created in 1967, its process and applications have gradually changed and grown. The fiberoptic intubation technique involves passing a tracheal tube loaded along its length through the glottis to enable for a flexible oral or nasal route that clearly visualizes the vocal cords. The endoscope is then removed once the tracheal tube has been inserted into the trachea. Conclusions: Awake fiberoptic intubation is widely advocated for the management of the known or anticipated difficult airway. However, fiberoptic intubation can be a challenging technique to learn, and continuous practice is needed to maintain the skill.

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Zagazig University Medical Journal
Volume 30, Issue 9
December 2024
Pages 4667-4675

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