Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-24T17:56:35.064Z Has data issue: false hasContentIssue false

Chapter 8 - Flexible Bronchoscopy Techniques: Nasal and Oral Approaches

from Section 2 - Devices and Techniques to Manage the Abnormal Airway

Published online by Cambridge University Press:  10 September 2019

Narasimhan Jagannathan
Affiliation:
Northwestern University Medical School, Illinois
John E. Fiadjoe
Affiliation:
Children’s Hospital of Philadelphia
Get access

Summary

Flexible fiberoptic intubation was first described in 1967 and has since become a mainstay in intubations of the difficult airway. The first flexible fiberoptic scope for ETTs greater than 4.5 mm ID was developed in the early 1970s. In the late 1980s, an ultrathin flexible fiberoptic laryngoscope was introduced, allowing intubation with ETTs as small as 2.5 mm ID. Multiple authors have since described the flexible fiberoptic bronchoscope’s safe and effective use in both normal and difficult pediatric airways. Others have described a variety of intubating methods using the flexible fiberoptic bronchoscope. The flexible fiberscope is a device born of innovations in fiberoptic technology.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Murphy, P. A Fibre-Optic Endoscope Used for Nasal Intubation. Anaesthesia 1967; 22(3): 489–91.Google Scholar
Roth, AG, Wheeler, M, Stevenson, GW, Hall, SC. Comparison of a Rigid Laryngoscope with the Ultrathin Fibreoptic Laryngoscope for Tracheal Intubation in Infants. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 1994; 41(11): 1069–73.Google ScholarPubMed
Finer, NN, Muzyka, D. Flexible Endoscopic Intubation of the Neonate. Pediatric Pulmonology 1992; 12(1): 4851.Google Scholar
Kleeman, PP, Jantzen, JP, Bonfils, P. The Ultra-Thin Bronchoscope in Management of the Difficult Paediatric Airway. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 1987; 34(6): 606–8.Google Scholar
Monrigal, J, Granry, J, LeRolle, T, Rod, B, Bavellar, M. Difficult Intubation in Newborns and Infants Using an Ultrathin Fibreoptic Bronchoscope. Anesthesiology 1991; 75(A): 1044.CrossRefGoogle Scholar
Heath, ML, Allagain, J. Intubation through the Laryngeal Mask. A Technique for Unexpected Difficult Intubation. Anaesthesia 1991; 46(7): 545–8.CrossRefGoogle ScholarPubMed
Tobias, R. Increased Success with Retrograde Guide for Endotracheal Intubation. Anesthesia & Analgesia 1983; 62(3): 366–7.Google Scholar
Lechman, MJ, Donahoo, JS, Macvaugh, H 3rd. Endotracheal Intubation Using Percutaneous Retrograde Guidewire Insertion Followed by Antegrade Fiberoptic Bronchoscopy. Critical Care Medicine 1986; 14(6): 589–90.CrossRefGoogle ScholarPubMed
Benumof, JL. Use of the Laryngeal Mask Airway to Facilitate Fiberscope-Aided Tracheal Intubation. Anesthesia & Analgesia 1992; 74(2): 313–15.Google Scholar
Darling, JR, Keohane, M, Murray, JM. A Split Laryngeal Mask as an Aid to Training in Fibreoptic Tracheal Intubation. A Comparison with the Berman II Intubating Airway. Anaesthesia 1993; 48(12): 1079–82.Google Scholar
Hasham, F, Kumar, CM, Lawler, PG. The Use of the Laryngeal Mask Airway to Assist Fibreoptic Orotracheal Intubation. Anaesthesia 1991; 46(10): 891.CrossRefGoogle ScholarPubMed
Johnson, CM, Sims, C. Awake Fibreoptic Intubation via a Laryngeal Mask in an Infant with Goldenhar’s Syndrome. Anaesthesia & Intensive Care 1994; 22(2): 194–7.Google Scholar
Gupta, B, McDonald, JS, Brooks, JH, Mendenhall, J. Oral Fiberoptic Intubation Over a Retrograde Guidewire. Anesthesia & Analgesia 1989; 68(4): 517–19.CrossRefGoogle Scholar
McGuire, B, Dalton, AJ. Sugammadex, Airway Obstruction, and Drifting across the Ethical Divide: a Personal Account. Anaesthesia 2016; 71(5): 487–92.Google Scholar
Roberts, JT. Preparing to Use the Flexible Fiber-Optic Laryngoscope. Journal of Clinical Anesthesia 1991; 3(1): 6475.Google Scholar
Ovassapian, A. Fiberoptic Endoscopy and the Difficult Airway. Philadelphia: Lippincott-Raven; 1996.Google Scholar
Smith, M, Calder, I, Crockard, A, Isert, P, Nicol, ME. Oxygen Saturation and Cardiovascular Changes during Fibreoptic Intubation under General Anaesthesia. Anaesthesia 1992; 47(2): 158–61.Google Scholar
Ovassapian, A, Krejcie, TC, Yelich, SJ, Dykes, MH. Awake Fibreoptic Intubation in the Patient at High Risk of Aspiration. British Journal of Anaesthesia 1989; 62(1): 1316.CrossRefGoogle ScholarPubMed
Hershey, MD, Hannenberg, AA. Gastric Distention and Rupture from Oxygen Insufflation during Fiberoptic Intubation. Anesthesiology 1996; 85(6): 1479–80.CrossRefGoogle ScholarPubMed
Richardson, MG, Dooley, JW. Acute Facial, Cervical, and Thoracic Subcutaneous Emphysema: a Complication of Fiberoptic Laryngoscopy. Anesthesia & Analgesia 1996; 82(4): 878–80.Google ScholarPubMed
Ovassapian, A, Yelich, SJ, Dykes, MH, Brunner, EE. Fiberoptic Nasotracheal Intubation – Incidence and Causes of Failure. Anesthesia & Analgesia 1983; 62(7): 692–5.Google Scholar
Delaney, KA, Hessler, R. Emergency Flexible Fiberoptic Nasotracheal Intubation: a Report of 60 Cases. Annals of Emergency Medicine 1988; 17(9): 919–26.CrossRefGoogle ScholarPubMed
Wiles, JR, Kelly, J, Mostafa, SM. Hypotension and Bradycardia Following Superior Laryngeal Nerve Block. British Journal of Anaesthesia 1989; 63(1): 125–7.Google Scholar
Moorthy, SS, Dierdorf, SF. An Unusual Difficulty in Fiberoptic Intubation. Anesthesiology 1985; 63(2): 229.Google Scholar
Ovassapian, A. Failure to Withdraw Flexible Fiberoptic Laryngoscope after Nasotracheal Intubation. Anesthesiology 1985; 63(1): 124–5.CrossRefGoogle ScholarPubMed
Nichols, KP, Zornow, MH. A Potential Complication of Fiberoptic Intubation. Anesthesiology 1989; 70(3): 562–3.Google ScholarPubMed
Siegel, M, Coleprate, P. Complication of Fiberoptic Bronchoscope. Anesthesiology 1984; 61(2): 214–15.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×