Mole Medical discusses the use of electronic bronchoscopy in difficult airways

Mondo Health Updated on 2024-01-31

Ensuring the smooth airway and maintaining effective ventilation is indispensable in clinical anesthesia. Electronic bronchoscopyGuided intubation has the advantages of rapidity, visibility, little damage to the nasal mucosa, and smooth intubation process.

Airway management can be difficult due to a variety of conditions, such as temporomandibular joint rigidity, scarring contracture in the cervical and mental area, micrognathia, macroglossia, short neck due to obesity, and cervical spine mobility disorders. These conditions can result in difficulty opening the mouth during endotracheal intubation and inability to extend the head and neck back.

For patients with cervical vertebra fracture or dislocation, special caution is required with conventional methods, as the slightest carelessness may lead to cervical spinal cord contusion or even paraplegia. For those who are conscious but have shortness of breath, confusion, irritability, or trismus with severe multiple injuries, timely use of electronic bronchoscopy-guided nasotracheal intubation strategies can successfully construct an artificial airway.

In addition, for patients who have suffered severe trauma to the head and face with mandibular fracture and severe head and facial trauma, nasal intubation with the help of electronic endoscopy can also be performed in time if oral intubation is not possible with ordinary laryngoscope. For those patients who are expected to have difficulty in preoperative tracheal intubation, spontaneous breathing should be preserved, intubation should be performed in a conscious state, and after ensuring that the endotracheal tube successfully enters the trachea and an artificial airway is established, intravenous materials should be administered to complete the anesthesia induction process.

Such meticulous operation and optimization strategies can ensure that the patient's airway is unobstructed and effectively ventilated in complex situations, thereby improving the safety and success rate of the anesthesia process.

Electronic bronchoscopyThe guided intubation technique offers several advantages. First of all, it is quick to operate and can quickly complete the intubation process, reducing patient pain and operation time. Secondly, it has the characteristics of visualization, which allows a clear view of the situation inside the trachea, so that it can be precisely positioned and operated. In addition, electronic bronchoscopy is less damaging to the nasal mucosa, reducing the risk of complications after surgery. During the intubation process, the electronic bronchoscope can also ensure the stable state of the patient and avoid secondary injury to the patient.

Electronic bronchoscopyIt has a wide range of applications and is suitable for **and children's endotracheal intubation. In the ICU and respiratory department, it can be used for a variety of procedures such as alveolar lavage, drug administration, intervention, biopsy, and foreign body retrieval. In anesthesiology, electronic bronchoscopy can be used for complex procedures such as intubation of difficult airways, positioning of double lumen, and occluder placement under lung surgery.

In conclusion, electronic bronchoscopy-guided intubation is a safe and effective surgical method that is suitable for a variety of surgical scenarios in a variety of departments. Its advantages and range of applications make it an indispensable diagnostic tool in modern medicine.

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