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Using a Disposable Flexible Fiberoptic Scope as a Bougie for Difficult Intubation. | LitMetric

AI Article Synopsis

  • The report highlights two challenging intubations where a fiberoptic bronchoscope was used as a guiding tool to place an endotracheal tube in patients with limited neck movement and restricted visibility of the vocal cords.
  • The procedure involved initially oxygenating the patients with a laryngeal mask while the bronchoscope provided a clear view for intubation.
  • The authors propose that this innovative technique could enhance patient safety and outcomes in critical situations, such as trauma or difficult airway scenarios.

Article Abstract

In this case report, we describe two difficult intubations in which an endotracheal tube was threaded over a fiberoptic bronchoscope that was acting as a bougie. Our patients initially presented with limited neck extension, narrow mouth opening, and restricted view of the glottic region. A fiberoptic bronchoscope was guided through while the patient was oxygenated through a laryngeal mask. After the scope provided an unrestricted view of the vocal cords, the digital module was removed by cutting the fiberoptic thread, and an endotracheal tube was passed through. After proper confirmation of the endotracheal tube position, the intubation was deemed successful and thereby, we share our experience with the novel technique. This technique may potentially improve critical patient outcomes whether in trauma or an unexpectedly difficult intubation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044995PMC
http://dx.doi.org/10.4103/jets.jets_63_23DOI Listing

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