Optical Devices in Tracheal Intubation—State of the Art in 2020
| Autor: | Frantisek Kolek, Olga Klementova, Jan Matek, Pavel Michalek, Tomas Vymazal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Computer science medicine.medical_treatment Clinical Biochemistry Laryngoscopy Review flexible fiberoptic intubation optical intubation law.invention 03 medical and health sciences 0302 clinical medicine Laryngoscopes 030202 anesthesiology law Intensive care medicine Fiberscope Intubation Medical physics optical stylet lcsh:R5-920 medicine.diagnostic_test Tracheal intubation fiberoptic tracheal tubes 030208 emergency & critical care medicine Supraglottic airway 3. Good health supraglottic airway Airway management hybrid device lcsh:Medicine (General) |
| Zdroj: | Diagnostics, Vol 11, Iss 575, p 575 (2021) Diagnostics |
| ISSN: | 2075-4418 |
| Popis: | The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools. Rigid and semi-rigid optical stylets represent another option in airway management. They offer benefits in restricted mouth opening and may be used also for retromolar intubation. Awake flexible fiberoptic intubation has been a gold standard in predicted difficult laryngoscopy for decades. Modern flexible bronchoscopes used in anesthesia and intensive care are disposable devices and contain optical lenses instead of fibers. Endotracheal tubes with an incorporated optics are used mainly in thoracic anesthesia for lung separation. They are available in double-lumen and single-lumen versions. They offer a benefit of direct view to the carina and do not require flexible fiberscope for their correct placement. |
| Databáze: | OpenAIRE |
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