Abstract:
:We conducted a randomised study in 70 patients to assess the effect of orientation of a standard polyvinyl chloride tracheal tube on the ease of railroading the tube during awake fiberoptic orotracheal intubation. Conventional orientation of the tube (with the bevel of the tube directed to the patient's left) was compared with orientation of the tube with the bevel facing posteriorly. The success rate of intubation at the first attempt was higher with the bevel oriented posteriorly (35/35; 100%) than with the conventional orientation (21/35; 60%; p = 0.0001), and the intubating time was shorter (median (range) 7 (5-11) s and 11 (5-60) s, respectively; p = 0.0001). We recommend that the tracheal tube should be aligned in this manner when railroading it over the fibrescope during awake fibreoptic orotracheal intubation.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Sharma D,Bithal PK,Rath GP,Pandia MPdoi
10.1111/j.1365-2044.2006.04750.xsubject
Has Abstractpub_date
2006-09-01 00:00:00pages
845-8issue
9eissn
0003-2409issn
1365-2044pii
ANA4750journal_volume
61pub_type
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