Use of a guide wire and a ureteral dilator as an aid to awake fibreoptic intubation.
We describe the successful use of a guide wire and ureteral dilator to pass a tracheal tube into the trachea through the mouth in an awake, sedated patient when attempts to pass a larger tube over an Olympus LF1 fibreoptic bronchoscope were unsuccessful. Since the ureteral and renal dilators are available in a variety of sizes, if too large a tube is inadvertently mounted on the instrument this technique allows an appropriate sized tube to be inserted without the need to re-endoscope the patient.
Telford
R J
RJ
Department of Anaesthesia, Royal Devon and Exeter Hospital.
Searle
J F
JF
Boaden
R W
RW
Baier
F
F
D000328:Adult; D001999:Bronchoscopy; D003243:Consciousness; D004106:Dilatation / Q000295:instrumentation; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D009303:Nasopharyngeal Neoplasms / Q000175:diagnosis; D014513:Ureter