Document Detail


The effect of the jaw-thrust manoeuvre on the ability to advance a tracheal tube over a bronchoscope during oral fibreoptic intubation.
MedLine Citation:
PMID:  23573843     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
During fibreoptic intubation, it is often difficult to advance a tracheal tube over the fibreoptic bronchoscope. We performed a prospective randomised study to investigate the effect of the jaw-thrust manoeuvre on the ability to advance a tracheal tube during oral fibreoptic intubation. After placing the bronchoscope in the trachea, an assistant randomly applied a jaw-thrust manoeuvre (jaw-thrust group) or sham manoeuvre (control group) in 82 patients during tube advancement. The jaw-thrust group had a higher success rate on the first attempt (70.7% vs 34.1%, p = 0.002), required fewer attempts (median (IQR [range]) 1 (1-2 [1-3]) vs 2 (1-3 [1-4]), p < 0.001), and took less time [6 (4-8 [2-16]) s vs 10 (7-15 [3-40]) s, p < 0.001] for tube advancement compared with the control group. The jaw-thrust manoeuvre facilitates the advancement of a tracheal tube over the bronchoscope during oral fibreoptic intubation.
Authors:
S H Han; A Y Oh; C W Jung; S J Park; J H Kim; F S Nahm
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Publication Detail:
Type:  Journal Article     Date:  2013-03-11
Journal Detail:
Title:  Anaesthesia     Volume:  68     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  472-7     Citation Subset:  AIM; IM    
Copyright Information:
Anaesthesia © 2013 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
Department of Anaesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
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