covid
Buscar en
Revista Colombiana de Anestesiología
Toda la web
Inicio Revista Colombiana de Anestesiología Guía para la intubación con fibrobroncoscopio en un Hospital Universitario
Journal Information
Vol. 40. Issue 1.
Pages 60-66 (January - March 2012)
Share
Share
Download PDF
More article options
Vol. 40. Issue 1.
Pages 60-66 (January - March 2012)
Open Access
Guía para la intubación con fibrobroncoscopio en un Hospital Universitario
Guidelines for intubation under fiberoptic bronchoscopy in a University Hospital
Visits
16616
F. Eduardo Lemaa,
Corresponding author
lemflorez@gmail.com

Autor para correspondencia: Calle 6a # 119-140. Cali, Colombia.
, Henry Medinaa, Claudia Gonzálezb, Carlos Eduardo Hoyosc, B. Luis Alberto Tafura,
a Médico anestesiólogo, Hospital Universitario del Valle, Universidad del Valle. Docente, Departamento de Anestesiología, Universidad del Valle. Instituto para Niños Ciegos y Sordos del Valle del Cauca, Cali, Colombia
b Médico residente de tercer año de Anestesiología, Universidad del Valle, Cali, Colombia
c Médico anestesiólogo, Hospital Militar, Bogotá, Colombia
This item has received

Under a Creative Commons license
Article information
Resumen
Introducción

El recurso del fibrobroncoscopio como instrumento para la intubación traqueal es relativamente reciente en nuestro medio. Su disponibilidad es cada vez mayor y por ello los anestesiólogos deben entrenarse suficientemente en el uso de este equipo. Conocer y dominar una técnica, respetando cada uno de sus pasos, es el primer paso para la realización exitosa de un procedimiento.

Objetivo

En la presente guía se describe la técnica utilizada en para la intubación con fibrobroncoscopio en el Hospital Universitario del Valle Evaristo García.

Metodología

El artículo se basa en la revisión de la literatura, la experiencia de los autores y un foro de discusión.

Resultados

Se presenta la guía para la intubación con fibrobroncoscopio en el Hospital Universitario del Valle Evaristo García. Se describe la técnica para la construcción de una máscara para la ventilación del paciente durante el procedimiento de intubación traqueal con la utilización del fibrobroncoscopio.

Palabras clave:
Manejo de la vía aérea
Intubación
Ventilación
Guía
Abstract
Introduction

The use of fiberoptic bronchoscopy as a tool for tracheal intubation is relatively new in our setting. Its availability has been increasing, and hence the need for anesthetists to receive adequate training in the use of this device. Knowledge and mastery intuof this technique, following all the necessary steps, is the starting point for the successful performance of a procedure.

Objective

These guidelines describe the technique for intubation using the fiberoptic bronchoscope at the Evaristo García University Hospital of the Colombian Department of Valle.

Methodology

This paper is based on a review of the literature, the authors’ experience, and a discussion forum.

Results

Presentation of the guidelines for intubation using fiber optic bronchoscope at the Evaristo García University Hospital. Description of the technique for constructing a mask for patient ventilation during tracheal intubation under fiberoptic bronchoscopy.

Keywords:
Airway management
Intubation
Ventilation
Guideline
Full text is only aviable in PDF
Referencias
[1.]
A.B. Conyers, D.H. Wallace, D.S. Mulder.
Use of the fiberoptic bronchoscope for nasotracheal intubation: A case report.
Can Anaesth Soc J, 19 (1972), pp. 654-656
[2.]
T. Erb, K.F. Hampl, M. Schurch, et al.
Teaching the use of fiberoptic intubation in anesthetized, spontaneously breathing patients.
Anesth Analg, 89 (1999), pp. 1292-1295
[3.]
A. Ovassapian, M.H. Dykes, M.E. Golmon.
A training programme for fibreoptic nasotracheal intubation Use of model and live patients.
Anaesthesia, 38 (1983), pp. 795-798
[4.]
C. Johnson, J.T. Roberts.
Clinical competence in the performance of fiberoptic laryngoscopy and endotracheal intubation: a study of resident instruction.
J Clin Anesth, 1 (1989), pp. 344-349
[5.]
G.N. Peterson, K.B. Domino, R.A. Caplan, et al.
Management of the difficult airway: a closed claims analysis.
Anesthesiology, 103 (2005), pp. 33-39
[6.]
S. Kheterpal, L. Martin, A.M. Shanks, et al.
Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics.
Anesthesiology, 110 (2009), pp. 891-897
[7.]
A. Villalonga, C. Lapena.
La respuesta refleja a la laringoscopia y a la intubación traqueal.
Rev Esp Anestesiol Reanim, 37 (1990), pp. 373-377
[8.]
A. Ovassapian, S.J. Yelich, M.H. Dykes, et al.
Blood pressure and heart rate changes during awake fiberoptic nasotracheal intubation.
Anesth Analg, 62 (1983), pp. 951-954
[9.]
J.L. Benumof.
Management of the difficult adult airway with special emphasis on awake tracheal intubation.
Anesthesiology, 75 (1991), pp. 1087-1110
[10.]
A. Ovassapian, M.H. Dykes.
The role of fiberoptic endoscopy in airway management.
Sem Anesth, 6 (1987), pp. 93-104
[11.]
J.H. Abernathy 3rd, S.T. Reeves.
Airway catastrophes.
Curr Opin Anaesthesiol, 23 (2010), pp. 41-46
[12.]
D.R. Hillman, P.R. Platt, P.R. Eastwood.
The upper airway during anaesthesia.
Br J Anaesth, 91 (2003), pp. 31-39
[13.]
C.J. Tsai, K.S. Chu, T.I. Chen, et al.
A comparison of the effectiveness of dexmedetomidine versus propofol target-controlled infusion for sedation during fibreoptic nasotracheal intubation.
Anaesthesia, 65 (2010), pp. 254-259
[14.]
M.R. Rai, T.M. Parry, A. Dombrovskis, et al.
Remifentanil targetcontrolled infusion vs propofol target-controlled infusion for conscious sedation for awake fibreoptic intubation: a doubleblinded randomized controlled trial.
Br J Anaesth, 100 (2008), pp. 125-130
[15.]
American Society of Anesthesiologists Task Force on Management of the Difficult Airway.
Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.
Anesthesiology, 98 (2003), pp. 1269-1277
[16.]
R.F. Gempeler, L. Díaz.
Intubación nasotraqueal guiada por fibrosocopio retromolar de Bonfils por vía oral.
Rev. Colomb. Anestesiol, 39 (2011), pp. 111-117
[17.]
J.C. Bocanegra, A.M. Rios.
Intubación con paciente despierto con fibroscopio rígido bajo sedación con remifentanil.
Rev Colomb Anestesiol, 38 (2010), pp. 395-401
[18.]
K. Aoyama, I. Takenaka.
Patil-Syracuse mask for fiberoptic intubation.
Masui, 48 (1999), pp. 1262-1266
[19.]
N. Obana, K. Komatsu, S. Komoda, et al.
The anesthetic management of tracheal T-tube exchange using Patil-Syracuse mask.
Masui, 48 (1999), pp. 386-389
[20.]
J.T. Roberts.
Preparing to use the flexible fiber-optic laryngoscope.
J Clin Anesth, 3 (1991), pp. 64-75
[21.]
K. Clark, L.T. Lam, S. Gibson, et al.
The effect of ranitidine versus proton pump inhibitors on gastric secretions: a meta-analysis of randomized control trials.
Anaesthesia, 64 (2009), pp. 652-657
[22.]
B.Z. Sklar, S. Lurie, T. Ezri, et al.
Lidocaine inhalation attenuates the circulatory response to laryngoscopy and endotracheal intubation.
J Clin Anesth, 4 (1992), pp. 382-385
[23.]
B. Venus, V. Polassani, C.G. Pham.
Effects of aerosolized lidocaine on circulatory responses to laryngoscopy and tracheal intubation.
Crit Care Med, 12 (1984), pp. 391-394
[24.]
E. Udezue.
Lidocaine inhalation for cough suppression.
Am J Emerg Med, 19 (2001), pp. 206-207
[25.]
P. Kunda, S. Kutralam, M. Ravishankar.
Local anesthesia for awake fiberoptic nasotracheal intubation.
Acta Anaesthesiol Scand, 44 (2000), pp. 511-516
[26.]
P. Ibarra, B. Robledo, M. Galindo, et al.
Normas mínimas 2009 para el ejercicio de la anestesiología en Colombia Comité de Seguridad.
Rev Colomb Anestesiol, 37 (2009), pp. 235-253
[27.]
B. Bein, F. Wortmann, P. Meybohm, et al.
Evaluation of the pediatric Bonfils fiberscope for elective endotracheal intubation.
Paediatr Anaesth, 18 (2008), pp. 1040-1044
[28.]
Simmons ST, Schleich AR. Airway regional anesthesia for awake fiberoptic intubation. Reg Anesth Pain Med. 2202;27:180–92.
[29.]
S. Ramesh.
Fiberoptic Airway Management in Adults and Children.
Indian J Anaesth, 49 (2005), pp. 293-299
[30.]
A. Michelson, B. Schuster, H.D. Kamp.
Paranasal sinusitis associated with nasotracheal and orotracheal long-term intubation.
Arch Otolaryngol Head Neck Surg, 118 (1992), pp. 937-939
[31.]
C.M. Kumar, P.G. Lawler.
Paranasal sinusitis: a complication of nasotracheal intubation.
Br J Anaesth, 58 (1986), pp. 1205
[32.]
R.M. Middleton, A. Shah, M.B. Kirkpatrick.
Topical nasal anesthesia for flexible bronchoscopy. A comparison of four methods in normal subjects and in patients undergoing transnasal bronchoscopy.
Chest, 99 (1991), pp. 1093-1096
[33.]
R.I. Katz, A.R. Hovagim, H.S. Finkelstein, et al.
A comparison of cocaine, lidocaine with epinephrine, and oxymetazoline for prevention of epistaxis on nasotracheal intubation.
J Clin Anesth, 2 (1990), pp. 16-20
[34.]
Superior laryngeal block. En: Brown, D., editor. Atlas of regional anesthesia, 2nd ed. Philadelphia, PA: Saunders; 1999. p. 211–12.
[35.]
A.P. Reed.
Preparation for intubation of the awake patient.
Mt Sinai J Med, 62 (1995), pp. 10-20
[36.]
Translaryngeal block. En: Brown, D., editor. Atlas of regional anesthesia, 2nd ed. Philadelphia, PA: Saunders;1999. p. 215–6.
[37.]
Glossopharyngeal block. En: Brown, D., editor. Atlas of regional anesthesia, 2nd ed. Philadelphia, PA: Saunders; 1999. p. 205–8.
[38.]
A.D. Sutherland, R.T. Williams.
Cardiovascular responses and lidocaine absorption in fiberoptic assisted awake intubation.
Anesth Analg, 65 (1986), pp. 389-391
[39.]
S.B. Parkes, C.S. Butler, R. Muller.
Plasma lignocaine concentration following nebulization for awake intubation.
Anaesth Intensive Care, 25 (1997), pp. 369-371
[40.]
P.D. Fulling, J.T. Roberts.
Fiberoptic intubation.
Int Anesthesiol Clin, 38 (2000), pp. 189-217
[41.]
A. Ovassapian, J. Yelich, M.H.M. Dykes, et al.
Fiberoptic nasotracheal intubation- incidence and causes of failure.
Anesth Analg, 62 (1983), pp. 692-695
[42.]
P.G. Boysen.
Fiberoptic instrumentation for airway management.
Annual Refresher Course Lectures, (1992),
[43.]
M.A. Maktabi, H. Hoffman, G. Funk, et al.
Laryngeal trauma during awake fiberoptic intubation.
Anesth Analg, 95 (2002), pp. 1112-1114
[44.]
J.T. Roberts, A.E. Abouleish, F.J. Curlin, et al.
The failed intubation: maximizing successful management of the patient with a compromised or potentially compromised airway.
Clinical management of the airway, pp. 187-218
[45.]
D.R. Hillman, P.R. Platt, P.R. Eastwood.
The upper airway during anesthesia.
Br J Anaesth, 91 (2003), pp. 31-39
[46.]
V.K. Durga, J.P. Millns, J.E. Smith.
Manoeuvres used to clear the airway during fibreoptic intubation.
Br J Anaesth, 87 (2001), pp. 207-211
[47.]
N.M. Woodall, R.J. Harwood, G.L. Barker.
Complications of awake fiberoptic intubation without sedation in 200 healthy anaesthetists attending a training course.
Br J Anaesth, 100 (2008), pp. 850-855
[48.]
J.N. Koppel, A.P. Reed.
Formal instruction in difficult airway management. A survey of anesthesiology residency programs.
Anesthesiology, 83 (1995), pp. 1343-1346
[49.]
S.D. Cooper, J.L. Benumof.
Teaching the management of the difficult airway: the UCSD airway rotation.
Anesthesiol, 81 (1994), pp. A1241
[50.]
M.D. Hershey, A.A. Hannenberg.
Gastric distention and rupture from oxygen insuflation during fiberopticintubation.
Anesthesiology, 85 (1996), pp. 1479-1480
[51.]
M. Siegel, P. Coleprate.
Complication of fiberoptic bronchoscope.
Anesthesiol, 61 (1984), pp. 214-215
[52.]
T. Heidegger, H.J. Gerig, B. Ulrico, T.W. Schnider.
Structure and process quality illustrated by fiberoptic intubation: analysis of 1,612 cases.
Anaesthesia, 58 (2003), pp. 734-739
Copyright © 2012. Sociedad Colombiana de Anestesiología y Reanimación
Download PDF
Article options