Awake fiberoptic versus awake videolaryngoscopy in difficult intubation
Background: Difficult intubation is usually encountered in daily work of anesthesia and intensive care. Different inventions and techniques were tried to deal with difficult intubation. Aim of the work: To investigate the difference between awake fiberoptic and awake videolaryngoscopy in difficult...
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Egyptian knowledge bank
2019-07-01
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doaj-0bb926bde09f4adfbd08e87dc76e366c2021-01-15T16:31:45ZengEgyptian knowledge bankInternational Journal of Medical Arts2636-41742682-37802019-07-0111222810.21608/ijma.2019.3620536205Awake fiberoptic versus awake videolaryngoscopy in difficult intubationSaud Erwi0Ibrahim Mahmoud1Neazy Abdelmottaleb2Pulmonologist and Intensivist at Armed Forces Hospital, Jazan, KSAAnesthesiology and Intensive Care Department, Faculty of Medicine, Al-Azhar University, New Damietta City, EgyptAnesthesiology and Intensive Care Department, Faculty of Medicine, Al-Azhar University, New Damietta City, EgyptBackground: Difficult intubation is usually encountered in daily work of anesthesia and intensive care. Different inventions and techniques were tried to deal with difficult intubation. Aim of the work: To investigate the difference between awake fiberoptic and awake videolaryngoscopy in difficult intubation Methods: A two-years, randomized comparative study was conducted and included patients with ASA classes I to III, who were scheduled for elective surgical procedures with anticipated difficult intubation. Patient randomly allocated to fiberoptic intubation (FI) and videolaryngoscopy (VL) intubation. The outcome measures were time to tracheal intubation, intubation success, number of attempts and operator evaluation of the procedure. Results: Both groups were comparable as regard to patient demographics, ASA classifications, number of attempts and number of patients who experienced desaturation. The time to intubate was significantly shorter in VL when compared to FI group. The sedation score and ease scores were significantly lower in VL when compared to FI groups. Conclusions: Videolaryngoscopy-guided intubation in difficult cases was associated with better outcome than fiberoptic intubation. However, no failure was reported in both groupshttps://ijma.journals.ekb.eg/article_36205_5ec7c9528edae881dd8b8f1703794aeb.pdffiberoptic laryngoscopevideolaryngoscopydifficult intubationhypoxemia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Saud Erwi Ibrahim Mahmoud Neazy Abdelmottaleb |
spellingShingle |
Saud Erwi Ibrahim Mahmoud Neazy Abdelmottaleb Awake fiberoptic versus awake videolaryngoscopy in difficult intubation International Journal of Medical Arts fiberoptic laryngoscope videolaryngoscopy difficult intubation hypoxemia |
author_facet |
Saud Erwi Ibrahim Mahmoud Neazy Abdelmottaleb |
author_sort |
Saud Erwi |
title |
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
title_short |
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
title_full |
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
title_fullStr |
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
title_full_unstemmed |
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
title_sort |
awake fiberoptic versus awake videolaryngoscopy in difficult intubation |
publisher |
Egyptian knowledge bank |
series |
International Journal of Medical Arts |
issn |
2636-4174 2682-3780 |
publishDate |
2019-07-01 |
description |
Background: Difficult intubation is usually encountered in daily work of anesthesia and intensive care. Different inventions and techniques were tried to deal with difficult intubation. Aim of the work: To investigate the difference between awake fiberoptic and awake videolaryngoscopy in difficult intubation Methods: A two-years, randomized comparative study was conducted and included patients with ASA classes I to III, who were scheduled for elective surgical procedures with anticipated difficult intubation. Patient randomly allocated to fiberoptic intubation (FI) and videolaryngoscopy (VL) intubation. The outcome measures were time to tracheal intubation, intubation success, number of attempts and operator evaluation of the procedure. Results: Both groups were comparable as regard to patient demographics, ASA classifications, number of attempts and number of patients who experienced desaturation. The time to intubate was significantly shorter in VL when compared to FI group. The sedation score and ease scores were significantly lower in VL when compared to FI groups. Conclusions: Videolaryngoscopy-guided intubation in difficult cases was associated with better outcome than fiberoptic intubation. However, no failure was reported in both groups |
topic |
fiberoptic laryngoscope videolaryngoscopy difficult intubation hypoxemia |
url |
https://ijma.journals.ekb.eg/article_36205_5ec7c9528edae881dd8b8f1703794aeb.pdf |
work_keys_str_mv |
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