Oral and nasotracheal light wand guided intubation after failed fibreoptic bronchoscopy.
Fibreoptic bronchoscopic guided tracheal intubation is often the first choice for clinicians familiar with the technique, when faced with a patient in whom tracheal intubation presents known or possible difficulties. Regardless of the technique chosen, anticipated and unanticipated problems may arise. We report three patients with known difficult airways that illustrate the utility of light wand guided oral and nasotracheal intubation when tracheal intubation with fibreoptic bronchoscopy proved impossible.
Rehman
M A
MA
Department of Anesthesia and Critical Care Medicine, St. Christopher's Hospital for Children, Philadelphia, PA 19134, USA.
Schreiner
M S
MS
D000293:Adolescent; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000844:Ankylosis / Q000601:surgery; D001999:Bronchoscopy / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004431:Ear, External / Q000601:surgery; D004867:Equipment Design; D005146:Facial Asymmetry / Q000601:surgery; D005260:Female; D005336:Fiber Optic Technology; D006221:Halothane / Q000008:administration & dosage; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008027:Light; D008297:Male; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D010197:Pancuronium / Q000008:administration & dosage; D013705:Temporomandibular Joint Disorders / Q000601:surgery; D013874:Thiopental / Q000008:administration & dosage; D014673:Vecuronium Bromide / Q000008:administration & dosage
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D014673:Vecuronium Bromide; D010197:Pancuronium; D013874:Thiopental; D006221:Halothane