Department of Anaesthesiology, Singapore General Hospital, Singapore.
Department of Anaesthesia, St George's Hospital, London, United Kingdom.
Singapore Med J. 2019 Mar;60(3):110-118. doi: 10.11622/smedj.2018081. Epub 2018 Jul 16.
Since the first use of the flexible fibreoptic bronchoscope, a plethora of new airway equipment has become available. It is essential for clinicians to understand the role and limitations of the available equipment to make appropriate choices. The recent 4th National Audit Project conducted in the United Kingdom found that poor judgement with inappropriate choice of equipment was a contributory factor in airway morbidity and mortality. Given the many modern airway adjuncts that are available, we aimed to define the role of flexible fibreoptic intubation in decision-making and management of anticipated and unanticipated difficult airways. We also reviewed the recent literature regarding the role of flexible fibreoptic intubation in specific patient groups who may present with difficult intubation, and concluded that the flexible fibrescope maintains its important role in difficult airway management.
自首次使用柔性纤维支气管镜以来，大量新的气道设备已经问世。临床医生了解可用设备的作用和局限性并做出适当选择至关重要。最近在英国进行的第 4 次全国审计项目发现，设备选择不当导致判断力差是气道发病率和死亡率的一个促成因素。鉴于有许多现代气道辅助设备，我们旨在确定柔性纤维支气管镜插管在预期和意外困难气道的决策和管理中的作用。我们还回顾了关于柔性纤维支气管镜插管在可能存在插管困难的特定患者群体中的作用的最新文献，并得出结论，柔性纤维支气管镜在困难气道管理中仍然发挥着重要作用。
