Fibre optic guided nasal intubation ― shouldn't we be the experts?

Difficult intubations are more common in otolaryngological practice than any other branch of medicine or surgery. The majority of these are predictable. It is the unexpected intubational failure, usually in a patient undergoing treatment for an unrelated problem, that results in tragedy. In this pap...

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Bibliographic Details
Published in:Journal of laryngology and otology 1985-01, Vol.99 (8), p.775-778
Main Authors: GLEESON, M. J, SIODLAK, M. Z, WENGRAF, C. L
Format: Article
Language:English
Subjects:
Airway Obstruction - etiology
Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cysts - complications
Cysts - therapy
Epiglottis
Fiber Optic Technology
Humans
Intubation, Gastrointestinal
Laryngeal Diseases - complications
Laryngeal Diseases - therapy
Male
Medical sciences
Middle Aged
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
Pharyngeal Diseases - etiology
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Summary:Difficult intubations are more common in otolaryngological practice than any other branch of medicine or surgery. The majority of these are predictable. It is the unexpected intubational failure, usually in a patient undergoing treatment for an unrelated problem, that results in tragedy. In this paper the indications for fibre optic guided intubation are discussed, and the technique described and illustrated in a case of pharyngeal obstruction secondary to an epiglottic cyst. It is suggested that our expertise to operate within the upper airway should be exploited to the advantage of our patients, and of our anaesthetic and surgical colleagues.
ISSN:0022-2151
1748-5460
DOI:10.1017/s0022215100097656