Effect of orientation of a standard polyvinyl chloride tracheal tube on success rates during awake flexible fibreoptic intubation.

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

Anaesthesia

journal_title

Anaesthesia

authors

Sharma D,Bithal PK,Rath GP,Pandia MP

doi

10.1111/j.1365-2044.2006.04750.x

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

845-8

issue

9

eissn

0003-2409

issn

1365-2044

pii

ANA4750

journal_volume

61

pub_type

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