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, 17 (9), 919-26

Emergency Flexible Fiberoptic Nasotracheal Intubation: A Report of 60 Cases

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Emergency Flexible Fiberoptic Nasotracheal Intubation: A Report of 60 Cases

K A Delaney et al. Ann Emerg Med.

Abstract

We describe our experience with 60 consecutive intubations using flexible fiberoptic nasotracheal technique in the emergency setting. Fifty-seven of the procedures were carried out by two emergency physicians initially trained on intubation manikins. A learning curve is constructed demonstrating that time to intubation is decreased after nine or ten intubations. Complications are reviewed. Bleeding occurred in 22% of patients; the technique failed in 13%. Failure to intubate with fiberoptic technique was associated with specific problems such as bleeding, tumor, or agitation. Our results demonstrate both the limitations and special use of flexible fiberoptic technique.

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