Intubation fiber optics

The intubation fiber optic is an endoscope for displaying the larynx for endotracheal intubation . Flexible fiberglass strands are used as light and image carriers in the device. The device enables the direct display of the path to the glottis without moving the neck. This plays a major role in trauma patients with potential damage to the cervical spine , since manipulation of the neck and thus direct laryngoscopy are contraindicated here. Contraindications for intubation with fiber optics are obstruction of the nasal cavity and massive bleeding, which would lead to an impairment of vision. The first fiber optic was described in 1967, with the technical development it is now widespread.

For intubation using fiber optics, premedication is required to reduce parasympathetic reflexes and for analgesia . Usually the endotracheal tube is first inserted up to the throat , then suction and finally the fiber optic is inserted into the tube. It is also possible to introduce flexible fiber optics through the other nostril. With a rigid intubation fiber optic, intubation through the oral cavity is also possible.

Individual evidence

↑ Manfred Körner: The nasotracheal intubation: A study on morphological requirements, indication, technique and complications on the basis of 1500 own, evaluated applications . Springer, Berlin 2013, ISBN 978-3-642-99957-4 , pp. 49-50 .
↑ ^a ^b Erich Rügheimer (Ed.): Intubation, tracheotomy and bronchopulmonary infection . Springer, Berlin 2013, ISBN 978-3-642-69051-8 , pp. 34 .

[1] Manfred Körner: The nasotracheal intubation: A study on morphological requirements, indication, technique and complications on the basis of 1500 own, evaluated applications . Springer, Berlin 2013, ISBN 978-3-642-99957-4 , pp. 49-50 .

[Rügheimer-2] Erich Rügheimer (Ed.): Intubation, tracheotomy and bronchopulmonary infection . Springer, Berlin 2013, ISBN 978-3-642-69051-8 , pp. 34 .