Document Detail

Comparison of two different techniques of fibreoptic intubation.
MedLine Citation:
PMID:  19401663     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVE: The application of analgesics and sedatives during fibreoptic intubation (FOI) may result in a transient decrease in arterial oxygen saturation.This study evaluates two different techniques of FOI and respective effects on procedural duration, arterial oxygen saturation, and coughing by the patient. METHODS: Thirty-four patients received a standardized conscious sedation with fentanyl (1.5 microg kg(-1)) and midazolam (12.5 microg kg(-1)).All patients were randomly allocated to one of the following techniques: the 'vaporization' (VAP) technique included four applications of 2 ml lidocaine 2% administered through the working channel of the fibrescope supplying an oxygen flow of 3 l min(-1); the 'standard' (STAN) technique included the insufflation of 3 l(-1) min oxygen via a nasal probe and two applications of 4 ml of lidocaine 2%, each followed by a maximum of 2 min to take effect. RESULTS: FOI was successful in all patients (STAN 15; 'vaporization' 17 patients). The overall intubation time interval was significantly (P < 0.001) shorter in the VAP group. There was no difference in oxygen saturation between the two groups prior to the start of FOI, but a significant (P = 0.008) decrease in oxygen saturation levels was detected in the STAN group after completion of FOI. Patients in the VAP group coughed less; a significant difference in the number of coughs (P = 0.036) was found during the application of lidocaine into the proximal trachea. CONCLUSION: The VAP technique decreases overall intubation time, increases the oxygen saturation of the patient until completion of the intubation, and reduces cough.
Tim Piepho; Andreas R Thierbach; Susanne M Göbler; Marc O Maybauer; Christian Werner
Related Documents :
7993413 - Elevation of systemic oxygen delivery in the treatment of critically ill patients.
19467393 - Updated systematic review of tonsillectomy and adenoidectomy for treatment of pediatric...
9832693 - The medtronic intact porcine valve: ten-year clinical review.
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  26     ISSN:  1365-2346     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-29     Completed Date:  2009-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  328-32     Citation Subset:  IM    
Department of Anaesthesiology, Johannes Gutenberg-University, Mainz, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Blood Pressure
Conscious Sedation*
Cough / etiology,  prevention & control
Fiber Optic Technology
Intubation, Intratracheal / instrumentation,  methods*
Middle Aged
Oxygen / blood*
Time Factors
Treatment Outcome
Young Adult
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Effects of changes in blood pressure and airway pressures on parameters of fluid responsiveness.
Next Document:  Comparison of intravenous and peritonsillar infiltration of tramadol for postoperative pain relief i...