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
Full text not available from this repository. (Request a copy)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) |
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