Journal article
Advancing the tracheal tube over a flexible fiberoptic bronchoscope by a sleeve mounted on the insertion cord
Anesthesia and analgesia, Vol.96(1), pp.290-292
2003
DOI: 10.1213/00000539-200301000-00057
PMID: 12505968
Abstract
The advancement of an endotracheal tube (ETT) over a flexible fiberoptic bronchoscope (FOB) is often impeded at the glottis. This is attributed to the creation of a cleft by the difference in the outer diameter of the fiberscope and the internal diameter of the tube. We designed a conical-shaped polyvinyl chloride sleeve to fit the insertion cord. This report compares the ease of advancement of the tube over a sleeved versus a nonsleeved bronchoscope. General anesthesia was induced, and one anesthesiologist introduced the FOB (a 3.8-mm Olympus LF2). Patients were randomly assigned to undergo tracheal intubation with the regular bronchoscope (25 patients) or the sleeved bronchoscope (25 patients). The FOB was advanced to approximately 1 cm above the carina. A blinded operator advanced the tube over the bronchoscope. The ETT was successfully advanced over the nonsleeved bronchoscope into the trachea on the first attempt in 64% of the patients, whereas tracheal intubation succeeded from the first attempt in 96% of patients when the sleeved FOB was used (P < 0.05). Advancement of the ETT over the fiberscope can be facilitated by using a conically shaped sleeve mounted on the insertion cord.
Details
- Title: Subtitle
- Advancing the tracheal tube over a flexible fiberoptic bronchoscope by a sleeve mounted on the insertion cord
- Creators
- Chakib M Ayoub - American University of Beirut Medical CenterMarwan S Rizk - American University of Beirut Medical CenterChadi I Yaacoub - American University of Beirut Medical CenterAnis S Baraka - American University of Beirut Medical CenterAntoine M Lteif - American University of Beirut Medical Center
- Resource Type
- Journal article
- Publication Details
- Anesthesia and analgesia, Vol.96(1), pp.290-292
- DOI
- 10.1213/00000539-200301000-00057
- PMID
- 12505968
- NLM abbreviation
- Anesth Analg
- ISSN
- 0003-2999
- eISSN
- 1526-7598
- Publisher
- Lippincott
- Number of pages
- 3
- Language
- English
- Date published
- 2003
- Academic Unit
- Anesthesia
- Record Identifier
- 9984756260402771
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