A year in review in Minerva Anestesiologica 2013.
BACKGROUND
We organized a training program for oral fiber optic intubation (FOI) under conscious sedation. The efficacy of the program was evaluated by comparing the performances of experts and novices.


METHODS
The training procedure was divided into two sessions: a theoretical session on difficult airways, the fiber optic bronchoscope (FOB), remifentanil, topical anesthesia and patient interactions; and a session involving simulations of the FOI technique on dummies. For in vivo FOI, we enrolled patients requiring orotracheal intubation for elective surgery. Electrocardiograms, mean arterial pressure was railroaded over the fiberscope, and tracheal intubati6 and 7) FOIs, respectively, joined the study. To reach ±23 bpm, P=0.02), and RR was decreased (from 16±3 to 12±4 bpm, P<0.05). No differences were recorded between the experts and less-experienced anesthesiologists. The average duration of FOI was 3.3±2.0 min for experts and 4.2±2.4 min for novices (P=0.03). Procedures were successful in both groups, with patients in each group being equally satisfied with the procedures.


CONCLUSIONS
This study highlights the importance of a structured FOI training program, demonstrating that it is possible to learn to perform FOI proficiently by practicing on dummies.
Dipartimento di Anestesia, Rianimazione (Intensiva e Subintensiva) e Terapia del dolore, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italia - chiumello@libero.it.
D
D
Chiumello
M
M
Allegri
F
F
Cavaliere
G
G
De Cosmo
G
G
Iohom
O
O
Langeron
A
A
Apan
P
P
Spieth
G
G
Capogna
D000758:Anesthesia / Q000639:trends*; D000776:Anesthesiology / Q000639:trends*; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal; D007558:Italy