Emergency management of respiratory failure by endotracheal intubation through the nose under the guidance of portable bedside fibrobronchoscope.
OBJECTIVE
To investigate the value of portable fibrobronchoscope in the management of respiratory failure by endotracheal intubation through the nose.


METHODS
Fifty-eight patients with acute or chronic respiratory failure received mechanical ventilation by endotracheal intubation through the nose under the guidance of portable fibrobronchoscope.


RESULTS
Intubation was successfully performed in all the patients in a single attempt (which took 30 min to 5 min) without interruption of autonomous breathing or incurring laryngospasm or cardiac arrest. After mechanical ventilation for 30 min, conspicuous improvement of respiratory failure was observed in all the cases.


CONCLUSIONS
With convenient and easy manipulation, portable fibrobronchoscope provides quick and accurate guidance for endotracheal intubation through the nose in the emergency management of respiratory failure.
Su
Jin
J
Department of Respiration, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
You
Chang-Xuan
CX
Cai
Shao-Xi
SX
Wang
Xiao-Yan
XY
Zhu
Shun-Fang
SF
Luo
Ya-Ling
YL
D000328:Adult; D020680:Bronchoscopes; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D009666:Nose; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy*; D016896:Treatment Outcome