Introduction of Flexible Bronchoscopy-Assisted Techniques into Anesthestic Practice
Ovassapian (9,
10)
recommended, that staff anesthetists, unfamiliar with flexible
bronchoscopy-assisted techniques, should first
attend hands-on workshops (for training on airway
models), and organize and assemble an airway cart that contains
all the necessarily required equipment and supplies, along with
a system for routine care. When the basic knowledge and handling
of flexible fiberoptic bronchoscope are acquired, they should limit the
first attempts in anesthetized patients with normal airway
anatomy to laryngeal exposure only. With minimized time for
laryngeal exposure, there will be enough time for completing
tracheal intubation in a further step. For all interventions, a
qualified assistant for jaw-thrust and other maneuvers, and
monitoring of the patient should be available and present.
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