Rigid bronchoscopy: Intubation techniques
- Henri G Colt, MD
Henri G Colt, MD
- Professor of Medicine
- University of California Irvine
The rigid bronchoscope, which is a hollow stainless steel tube through which a rigid telescope is placed, provides access to the central airways. External diameters and lengths vary depending upon the manufacturer. The distal end of the rigid bronchoscope is usually beveled to facilitate intubation and lifting of the epiglottis; the proximal portion is equipped to accommodate attachments, provide side port ventilation, and permit insertion of ancillary instruments.
Intubation with the rigid bronchoscope usually prompts the following questions:
●What anesthesia and patient preparation techniques are commonly used?
●How is direct intubation performed?
●Is laryngoscopically-guided intubation possible?
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- PATIENT PREPARATION
- DIRECT INTUBATION
- INTUBATION WITH LARYNGOSCOPY
- INTUBATION VIA TRACHEOSTOMY
- Damage to structures of the mouth and oropharynx
- Laryngeal swelling
- Spinal cord injury
- Airway perforation and injury to the vocal cords and arytenoids
- SUMMARY AND RECOMMENDATIONS