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Ann Emerg Med. 1988 Sep;17(9):919-26.

Emergency flexible fiberoptic nasotracheal intubation: a report of 60 cases.

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Emergency Department, Bellevue Hospital, New York, New York 10016.


We describe our experience with 60 consecutive intubations using flexible fiberoptic nasotracheal technique in the emergency setting. Fifty-seven of the procedures were carried out by two emergency physicians initially trained on intubation manikins. A learning curve is constructed demonstrating that time to intubation is decreased after nine or ten intubations. Complications are reviewed. Bleeding occurred in 22% of patients; the technique failed in 13%. Failure to intubate with fiberoptic technique was associated with specific problems such as bleeding, tumor, or agitation. Our results demonstrate both the limitations and special use of flexible fiberoptic technique.

[Indexed for MEDLINE]

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