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[Anesthetic technics for the difficult intubation].

E Boufflers·V Hannebicque·M Niset·H Reyford·R Krivosic-Horber
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Abstract

Numerous anaesthetic techniques exist for a patient who presents with a difficult endotracheal intubation. They all require an anaesthetic protocol which cannot be improvised. When intubation is expected to be difficult at the pre-anaesthetic examination, the use of a fiberoptic bronchoscope is the technique of choice for intubating adults under local anaesthesia, and children under general anaesthesia. When a fiberoptic bronchoscope is not available, several alternatives can be suggested: local anaesthesia of the glottis, retro-molar and retrograde intubation, or the use of a guide threaded over a lighted stylet; these techniques can be used in an anaesthetized patient breathing spontaneously. In the paralyzed patient impossible to intubate, various trans-laryngeal techniques of ventilation can be used in emergency: jet ventilation via the trans-crico-thyroid route, the use of a cricotomy cannula, or a minitracheotomy set.

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AnesthesiaEmergenciesFiber Optic TechnologyHalothaneHigh-Frequency Jet VentilationHumansIntubation, IntratrachealLaryngoscopyMidazolamTracheotomyEnglish AbstractJournal Article

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E Boufflers, V Hannebicque, M Niset, H Reyford, R Krivosic-Horber. 1990. [Anesthetic technics for the difficult intubation].. https://doi.org/10.1016/s0750-7658(05)80037-1

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