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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Autores principales: Saud Erwi, Ibrahim Mahmoud, Neazy Abdelmottaleb
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Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2019
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Acceso en línea:https://doaj.org/article/0bb926bde09f4adfbd08e87dc76e366c
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spelling oai:doaj.org-article:0bb926bde09f4adfbd08e87dc76e366c2021-12-02T15:22:19ZAwake fiberoptic versus awake videolaryngoscopy in difficult intubation2636-41742682-378010.21608/ijma.2019.36205https://doaj.org/article/0bb926bde09f4adfbd08e87dc76e366c2019-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_36205_5ec7c9528edae881dd8b8f1703794aeb.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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 groupsSaud ErwiIbrahim MahmoudNeazy AbdelmottalebAl-Azhar University, Faculty of Medicine (Damietta)articlefiberoptic laryngoscopevideolaryngoscopydifficult intubationhypoxemiaMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 1, Pp 22-28 (2019)
institution DOAJ
collection DOAJ
language EN
topic fiberoptic laryngoscope
videolaryngoscopy
difficult intubation
hypoxemia
Medicine (General)
R5-920
spellingShingle fiberoptic laryngoscope
videolaryngoscopy
difficult intubation
hypoxemia
Medicine (General)
R5-920
Saud Erwi
Ibrahim Mahmoud
Neazy Abdelmottaleb
Awake fiberoptic versus awake videolaryngoscopy in difficult intubation
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
format article
author Saud Erwi
Ibrahim Mahmoud
Neazy Abdelmottaleb
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 Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2019
url https://doaj.org/article/0bb926bde09f4adfbd08e87dc76e366c
work_keys_str_mv AT sauderwi awakefiberopticversusawakevideolaryngoscopyindifficultintubation
AT ibrahimmahmoud awakefiberopticversusawakevideolaryngoscopyindifficultintubation
AT neazyabdelmottaleb awakefiberopticversusawakevideolaryngoscopyindifficultintubation
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