Download Citation on ResearchGate | On Apr 1, , Lorena España Fuente and others published Intubación de un paciente despierto con vía aérea difícil. Intubación con fibra óptica en pacientes pediátricos a menudo se requiere sobre fibra óptica despierto se recomienda para la intubación de los pacientes con. INTUBACIÓN OROTRAQUEAL CON AIRTRACK EN PACIENTE BAJO SEDACIÓN CONSCIENTE CON REMIFENTANIL EN C.N.S Hospital.

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The role of high-flow oxygen therapy in acute respiratory J Emerg Med, 49pp. We planned elective intubation under fiberoptic guide and we administrated midazolam 5 mg i.

Guidelines for Elective Pediatric Fiberoptic Intubation | Protocol (Translated to Spanish)

Furthermore, she referred history of difficult endotracheal intubation during two previous surgeries. Your institution must subscribe to JoVE’s Medicine section to access this content.

Please check your Internet connection and reload this page. Bronchoscopy during non-invasive ventilation in a patient with acute respiratory distress syndrome. Furthermore, intubation with a videolaryngoscope requires a deep level of sedation, and eventually the administration of a neuromuscular blocking agents.

A su ingreso, se observo en la paciente un estado normotenso, con roncus generalizados, utilizacion de musculos accesorios de dos dias de evolucion e inminencia de falla respiratoria, por lo cual fue necesario su intubacion oro traqueal. All works go through a rigorous selection process.

Votta aG. You can change the settings or obtain more information by clicking here. Korean J Anesthesiol, 68pp. Furthermore, she referred paclente of difficult endotracheal intubation during two previous surgeries. Janus mask applied during difficult airway management can significantly improve both pre-oxygenation and oxygenation during fibroscopic intubation maintaining an adequate oxygen saturation even in the event of prolonged or complex maneuvers.

The authors have no conflicts of interest concerning the publication of this manuscript. Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients.


Intubación paciente despierto by Gian Gutierrez Herrera on Prezi Next

Tracheal intubation via the i-gel and the aintree intubation catheter in a patient with unexpected difficult intubation. Signa Vitae. Case 2 Two weeks later we treated another patient, a 69 year-old woman scheduled for thoracoabdominal aortic aneurysm repair surgery, with the same approach.

However, some issues may arise during fiberoptic intubation even for the most trained anesthesiologists in the setting of cardiorespiratory comorbidity determining hypoxemia and need for respiratory support during the procedure.

En dicho procedimiento anestesico se reporta una adecuada apertura oral e intubacion oro traqueal facil. CiteScore measures average citations received per document published.

Furthermore, she referred history of difficult endotracheal intubation during two previous surgeries. Contribution of the authors MP: Unable to load video. Oriani aA. Finally, although there is no experience with HFNO and fibroscopy in the context of difficult intubation, the possibility to perform the CPAP with Janus mask may maintain a better gas exchange during the entire procedure. However, the simulation is not fully representative of the real clinical life, which is often more complicated and stressful.

You will only be able to see the first 20 seconds. The I-gel laryngeal mask also proved to be a useful tool, when used in combination with a lightwand 15 or the Aintree intubation catheter. Hazards of intubation in the ICU: The procedure was successful and uneventful, but required three attempts and lasted 12 min. Case 2 Two weeks later we treated another patient, a 69 year-old woman scheduled for thoracoabdominal aortic aneurysm repair surgery, with the same approach.

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A novel non-invasive ventilation mask to prevent and manage respiratory failure during fiberoptic bronchoscopy, gastroscopy and transesophageal echocardiography. In particular, the use of this device has a strong rational as a bridge to awake fiberoptic intubation, as a rescue ventilator therapy during interventional procedures, and as an educational tool for the anesthesiologists without experience in fiberoptic intubation, who can improve their confidence with this procedure in a safe real life scenario.


All works go through a rigorous selection process. Si continua navegando, consideramos que acepta su uso. In our opinion the use of such invasive approaches cannot be encouraged, now that modern, non-invasive, and safe devices such paviente the Janus mask are available. Therefore the incidence of difficult intubation and the severity of desaturation is higher in ICU compared to the operating room.

Both patients signed an informed consent for management and publication of data and images.

Se utiliza tambien para la intubacion oro traqueal de rutina por su facil manejo, su curva de aprendizaje corta, la disminucion en el tiempo de intubacion, y la menor posibilidad de trauma dental y de tejidos blandos comparado con el laringoscopio tradicional. Therefore, long maneuvers can be tolerated, avoiding desaturation episodes. Tracheal puncture at the level of the chricothyroid membrane to perform retrograde intubation 17 and the use of a tracheal introducer 18 were also reported as useful strategies in this context, but they are highly invasive.

Pieri aS. Then, HFNO was not superior to facemask in improving oxygenation in patient with severe hypoxia who needed intubation, 13 while Janus mask maintained an adequate oxygenation in fragile patients undergoing prolonged TEE for appendage closure, procedure which required more than an hour.

Previous article Dezpierto article. Previous article Next article. Intubacino strategies do exist to perform intubation in a planned or unplanned difficult airway scenario paclente were reported in literature: