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Complete fiberoptic

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Fiberoptic intubation. Presenter: DR.TREVOR. Moderator: DR.RANJAN
Indications for fibreoptic intubation ,[object Object],[object Object],[object Object],[object Object]
Indications for fibreoptic airway endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endotracheal tube manipulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
The “Open it up, line it up” FIBEROPTIC INTUBATION   ,[object Object],[object Object]
Indications for awake fiberoptic intubation. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2.Prepare the awake patient. “ difference between success and failure.” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Once in o.t…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Anesthesia of the Airway. ,[object Object],[object Object],[object Object],[object Object]
Sensory innervation of upper airway segments. ,[object Object],[object Object],[object Object],[object Object]
Preparation for nasal route. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Application of nasal pledgets.
Anesthesia for the nares. ,[object Object]
Atomizer. ,[object Object],[object Object]
Atomizer.
Enk Fiberoptic Atomizer Sets ,[object Object],[object Object],[object Object]
Enk Fiberoptic Atomizer Sets
Pharynx (divided into naso, oro & laryngopharynx ) ,[object Object]
Anesthesia of oral cavity & pharynx-noninvasive. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nebulized lidocaine. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Invasive- GLOSSOPHARYNGEAL NERVE BLOCK ,[object Object],[object Object],[object Object],[object Object]
GLOSSOPHARYNGEAL NERVE BLOCK.
Sensory innervation . ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
superior laryngeal nerve block-noninvasive. ,[object Object],[object Object],[object Object],[object Object]
superior laryngeal nerve-invasive. ,[object Object]
[object Object]
[object Object],[object Object]
Technique Tips! ,[object Object],[object Object],[object Object]
TRANSTRACHEAL BLOCK. ,[object Object],[object Object]
Placement of fingers to identify the midline of the cricothyroid membrane .
[object Object],[object Object]
Placement of the needle for the Transtracheal block.
[object Object],[object Object],[object Object]
[object Object]
[object Object]
Complications: ,[object Object],[object Object],[object Object],[object Object]
Open up the airway. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intubating oral airways. ,[object Object],[object Object],[object Object]
Olympus bite block. ,[object Object],[object Object],[object Object],[object Object]
olympus bite block.
Disadvantages. ,[object Object],[object Object],[object Object]
Williams airway. ,[object Object],[object Object],[object Object],[object Object]
Williams airway
Ovassapian airway. ,[object Object],[object Object],[object Object]
Ovassapian airway
Fiberscopy via an oral airway.
Patil mask. ,[object Object],[object Object]
Patil mask :
Patient positioning for fiberoptic intubation.. ,[object Object],[object Object],[object Object],[object Object]
3.Setup the fiberoptic scope. “ A place for everything and everything in its place." ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Fiberscope with endotracheal tube mounted .
Fiberscope with laryngeal mask airway mounted.
Line up the fiberoptic shaft . Know where that tip points before it disappears from view! ,[object Object],[object Object],[object Object]
Introducing the fiberscope
[object Object],[object Object]
View of the epiglottis through the fiberscope.
View through the fiberscope: glottic aperture
Happy sight of glottic aperture in a fiberscope.
Sad sight.
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
fiberoptic shaft falls posteriorly into the interarytenoid fissure
Causes of Failure of Fibreoptic Intubation. ,[object Object],[object Object],[object Object],[object Object]
Causes of Failure ,[object Object],[object Object],[object Object]
Tips ,[object Object],[object Object]
Tips ,[object Object],[object Object],[object Object]
Complications. ,[object Object],[object Object]
Complications… ,[object Object],[object Object],[object Object],[object Object]
Complications… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ~ related to procedure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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