Awake tracheal intubation using the Sensascope in 13 patients with an anticipated difficult airway

Greif, R; Kleine-Brueggeney, Maren; Theiler, Lorenz (2010). Awake tracheal intubation using the Sensascope in 13 patients with an anticipated difficult airway. Anaesthesia, 65(5), pp. 525-8. Oxford: Wiley-Blackwell 10.1111/j.1365-2044.2010.06311.x

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We present the use of the SensaScope, an S-shaped rigid fibreoptic scope with a flexible distal end, in a series of 13 patients at high risk of, or known to have, a difficult intubation. Patients received conscious sedation with midazolam or fentanyl combined with a remifentanil infusion and topical lidocaine to the oral mucosa and to the trachea via a trans-cricoid injection. Spontaneous ventilation was maintained until confirmation of tracheal intubation. In all cases, tracheal intubation was achieved using the SensaScope. The median (IQR [range]) insertion time (measured from the time the facemask was taken away from the face until an end-expiratory CO(2) reading was visible on the monitor) was 58 s (38-111 [28-300]s). In nine of the 13 cases, advancement of the SensaScope into the trachea was easy. Difficulties included a poor view associated with a bleeding diathesis and saliva, transient loss of spontaneous breathing, and difficulty in advancing the tracheal tube in a patient with unforeseen tracheal narrowing. A poor view in two patients was partially improved by a high continuous flow of oxygen. The SensaScope may be a valuable alternative to other rigid or flexible fibreoptic scopes for awake intubation of spontaneously breathing patients with a predicted difficult airway.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
UniBE Contributor:	Greif, Robert, Theiler, Lorenz
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0003-2409
Publisher:	Wiley-Blackwell
Language:	English
Submitter:	Jeannie Wurz
Date Deposited:	04 Oct 2013 14:08
Last Modified:	05 Dec 2022 14:00
Publisher DOI:	10.1111/j.1365-2044.2010.06311.x
PubMed ID:	20337617
Web of Science ID:	000276601300015
URI:	https://boris.unibe.ch/id/eprint/550 (FactScience: 199722)