Fibreoptic and videoscopic indirect intubation techniques for intubation in children.
Endotracheal intubation in the pediatric emergency department can be challenging. Direct laryngoscopy is the primary intubation technique used in pediatric emergency intubations. However, cases arise where abnormalities of the upper airway prevent a direct view of the laryngeal opening. Under these circumstances, indirect means of visualization of the laryngeal opening using fiberoptic and videoscopic devices can be used to successfully achieve intubation. A wide range of instruments including flexible, rigid, and semirigid devices are available. Those who practice emergency medicine should be aware of these devices and be skilled in their use and aware of their limitations.
Levin
Richard
R
Division of Critical Care, British Columbia Children's Hospital, Vancouver, British Columbia, Canada V6H 3V4.
Kissoon
Niranjan
N
Froese
Norbert
N
D002648:Child; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D004867:Equipment Design; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D014741:Video Recording