ArticleJournal of dental anesthesia and pain medicine2017
Learning fiberoptic intubation for awake nasotracheal intubation.
Article in Journal of dental anesthesia and pain medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Virtual reality in fibre-optic intubation training: protocol for a systematic review and meta-analysis.BMJ open · 2024Article
- Review
- Managing the difficult airway: A survey of doctors with different seniority in China.Medicine · 2021Article
- Emergent tracheostomy during the pandemic of COVID-19: Slovenian National Recommendations.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Review
- Risk factors affecting the difficulty of fiberoptic nasotracheal intubation.Journal of dental anesthesia and pain medicine · 2020Article
- A prospective randomized trial of xylometazoline drops and epinephrine merocele nasal pack for reducing epistaxis during nasotracheal intubation.Journal of dental anesthesia and pain medicine · 2020Article
- Orotracheal intubation in a patient with difficult airway by using fiberoptic nasotracheal intubation: A case report.Journal of dental anesthesia and pain medicine · 2018Article
- An Open-Source, Three-Dimensionally Printed, Motorized ("Breathing") Nasotracheoscopy Simulator.OTO openArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFiberoptic nasotracheal intubation (FNI) is performed if it is difficult to open the mouth or if intubation using laryngoscope is expected to be difficult. However, training is necessary because intubation performed by inexperienced operators leads to complications.
methodsEvery resident performed intubation in 40 patients. Success of FNI was evaluated as the time of FNI. First intubation time was restricted to 2 min 30 s. If the second attempt was unsuccessful, it was considered a failed case, and a specialist performed nasotracheal intubation. If the general method of intubation was expected to be difficult, awake intubation was performed. The degree of nasal bleeding during intubation was also evaluated.
resultsThe mean age of the operators (11 men, 7 women) was 27.8 years. FNI was performed in a total of 716 patients. The success rate was 88.3% for the first attempt and 94.6% for the second attempt. The failure rate of intubation in anesthetized patients was 4.9%, and 13.6% in awake patients. When intubation was performed in anesthetized patients, the failure rate from the first to fifth trial was 9.6%, which decreased to 0.7% when the number of trials increased to > 30 times. In terms of awake intubation, there was no failed attempt when the resident had performed the FNI > 30 times. The number of FNIs performed and nasal bleeding were important factors influencing the failure rate.
conclusionThe success rate of FNI increased as the number of FNI performed by residents increased despite the nasal bleeding.
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