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- K A Delaney and R Hessler.
- Emergency Department, Bellevue Hospital, New York, New York 10016.
- Ann Emerg Med. 1988 Sep 1;17(9):919-26.
AbstractWe 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.
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