Fiberoptic intubation (FOI) is
an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways
. First described in the late 1960s, this approach can facilitate airway management in a variety of clinical scenarios given proper patient preparation and technique.
Why is fiberoptic intubation awake?
Awake fiberoptic intubation is
one of the recommended strategies for surgical patients with anticipated difficult airway
, especially when concurrent difficult ventilation is expected.
Is awake intubation painful?
The main findings of this study showed that
undergoing awake intubation was an acceptable experience for most patients
, whereas others experienced it as being painful and terrifying. The application of local anaesthetic evoked feelings of discomfort, coughing, and suffocation.
What is retrograde intubation?
Retrograde intubation is
an alternative technique of establishing definitive airway in these patients
when blind nasal intubation fails and fiberoptic bronchoscope is not available. We tested the retrograde intubation through nasal route in patients with LMO less than 2 cm.
How is awake intubation done?
Awake intubation is
placing an endotracheal tube in the trachea while the patient continues to breathe
. The principle advantage over RSI is that you do not take away the patient’s respirations or airway reflexes, which makes the process safer in many circumstances.
Can you be awake after being intubated?
Any patient except the crash airway can be intubated awake
. If you think they are a difficult airway, temporize with NIV while you topically anesthetize and then do the patient awake while they keep breathing.
Can you be awake during intubation?
Awake intubation is used in patients with a
predicted difficult airway
or an unstable cervical spine. This technique allows patients to maintain their own airway until intubation is achieved, thereby greatly reducing the risk for aspiration: risk.
Is intubation serious?
It’s rare for intubation to cause problems
, but it can happen. The scope can damage your teeth or cut the inside of your mouth. The tube may hurt your throat and voice box, so you could have a sore throat or find it hard to talk and breathe for a time. The procedure may hurt your lungs or cause one of them to collapse.
Are intubated patients conscious?
Intubation Procedure
Prior to intubation,
the patient is typically sedated or not conscious due to illness or
injury, which allows the mouth and airway to relax. The patient is typically flat on their back and the person inserting the tube is standing at the head of the bed, looking at the patient’s feet.
Can intubated patients hear you?
They do hear you
, so speak clearly and lovingly to your loved one. Patients from Critical Care Units frequently report clearly remembering hearing loved one’s talking to them during their hospitalization in the Critical Care Unit while on “life support” or ventilators.
What is Burp maneuver?
The BURP maneuver consists of
the displacement of the thyroid cartilage dorsally
so as to abut the larynx against the bodies of the cervical vertebrae, 2 cm cephalad until mild resistance is met, and 0.5-2.0 cm laterally to the right.
How do you do Nasotracheal intubation?
Stepwise Intubation Technique
Dilate the selected nostril with
a #32 nasal airway. If significant resistance is felt, try the other side. Remove the airway prior to intubation. Pre-oxygenate the patient at 100 % and keep the patient on oxygen by a cannula in the mouth during the entire procedure.
What is awake fiberoptic intubation?
Awake Fibreoptic Intubation (AFOI) is
when a breathing tube is placed in the breathing passage through the nose or the mouth when you are awake
.
What are the side effects of being intubated?
- damage to the vocal cords.
- bleeding.
- infection.
- tearing or puncturing of tissue in the chest cavity that can lead to lung collapse.
- injury to throat or trachea.
- damage to dental work or injury to teeth.
- fluid buildup.
- aspiration.
Are you always sedated when intubated?
Unless the patient is already unconscious or if there is a rare medical reason to avoid sedation,
patients are typically sedated for intubation
. Intubation is a medical procedure used by doctors to keep the airway open or safe during a medical emergency or a surgical procedure.
