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Medicine
Le rhino-laryngoscope flexible pour l’intubation nasotrachéale éveillée
Le rhino-laryngoscope flexible pour l’intubation nasotrachéale éveillée
JoVE Journal
Medicine
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JoVE Journal Medicine
The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Le rhino-laryngoscope flexible pour l’intubation nasotrachéale éveillée

Full Text
2,354 Views
03:58 min
August 2, 2024

DOI: 10.3791/66875-v

Caius Mihai Breazu1,2,3, Ioan Florin Marchis2,3,4, Matei Florin Negrut4, Mirela Crihan1,2,5, Alexandru Leonard Alexa1,2,5, Cristina Maria Blebea6

11st Department of Anesthesia and Intensive Care,“Iuliu Haţieganu” University of Medicine and Pharmacy, 2Research Association in Anesthesia and Intensive Care (ACATI), 3Department of Anesthesia and Intensive Care “Clinicilor 4-6”,Cluj County Emgency Clinical Hospital, 4“Iuliu Haţieganu” University of Medicine and Pharmacy, 5Department of Anesthesia and Intensive Care,“Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology, 6Otorhinolaryngology Department,“Iuliu Hatieganu” University of Medicine and Pharmacy

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This article presents a protocol for awake nasotracheal intubation using a flexible rhino-laryngoscope. This method is minimally invasive, well-tolerated, and safe for patients with difficult airways.

Key Study Components

Area of Science

  • Anesthesia
  • Airway management
  • Clinical protocols

Background

  • Awake intubation is often underused despite its benefits.
  • Flexible rhino-laryngoscopes can improve maneuverability.
  • This technique may serve as an alternative to conventional methods.
  • Shorter scopes decrease the likelihood of buckling.

Purpose of Study

  • To investigate the feasibility of awake nasal tracheal intubation.
  • To promote broader adoption of this technique in clinical practice.
  • To assess the advantages of using a flexible rhino-laryngoscope.

Methods Used

  • Protocol development for awake intubation.
  • Comparison with conventional fiber optic bronchoscopy.
  • Evaluation of the flexible rhino-laryngoscope's performance.
  • Patient tolerance and safety assessments.

Main Results

  • Awake intubation with the flexible scope is fast and safe.
  • Patients tolerate the procedure well.
  • Improved maneuverability enhances the procedure's effectiveness.
  • Potential for increased clinical adoption of the technique.

Conclusions

  • The flexible rhino-laryngoscope is a viable alternative for intubation.
  • Awake intubation can be performed safely and efficiently.
  • Further research may encourage its use in difficult airway management.

Frequently Asked Questions

What is awake nasotracheal intubation?
Awake nasotracheal intubation is a technique used to secure the airway while the patient is conscious.
Why use a flexible rhino-laryngoscope?
It offers improved maneuverability and is less likely to buckle during the procedure.
Is this method safe?
Yes, studies indicate that it is well-tolerated and safe for patients with difficult airways.
How does this compare to fiber optic bronchoscopy?
The flexible rhino-laryngoscope is simpler and more economical, making it a practical alternative.
What are the main benefits of this technique?
It is fast, safe, and minimizes invasiveness while improving patient comfort.
Can this technique be performed with one hand?
Yes, it allows the operator to use one hand while adjusting the patient's head with the other.

Voici un protocole d’intubation nasotrachéale éveillée à l’aide d’un rhino-laryngoscope flexible d’une longueur de travail de 300 mm. Comme cet outil est peu invasif et facile à manipuler, l’intubation éveillée réalisée avec un rhino-laryngoscope flexible est bien tolérée, rapide et sans danger pour les patients ayant des voies respiratoires difficiles.

Cette étude vise à fournir une description complète de la technique d’intubation nasotrachéale éveillée à l’aide d’un rhino-laryngoscope flexible. Nous proposons que cette méthode puisse servir d’alternative sûre, simple et économique au bronchoscope à fibre optique conventionnel. Malgré ses avantages reconnus, l’intubation éveillée reste sous-utilisée dans la pratique clinique.

Cette recherche vise à déterminer si le champ d’application plus court et plus flexible peut rendre la procédure plus accessible et plus pratique, en encourageant son adoption plus large. Une lunette plus courte peut améliorer la maniabilité et réduire le risque de flambage. Il peut être actionné d’une main, libérant l’autre pour ajuster la tête du patient.

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