possible to learn to perform FOI proficiently by practicing on dummies. (Minerva ...... Hong DM, Seo JH, Chang KH, Nam K, Bahk JH. A novel maneuver to blindly ...
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COPYRIGHT 2014 EDIZIONI MINERVA MEDICA
YEAR IN REVIEW
A year in review in Minerva Anestesiologica 2013 D. CHIUMELLO 1, M. ALLEGRI 2, F. CAVALIERE 3, G. DE COSMO 3, G. IOHOM 4 O. LANGERON 5, A. APAN 6, P. SPIETH 7, G. CAPOGNA 8 1Dipartimento di Anestesia, Rianimazione (Intensiva e Subintensiva) e Terapia del dolore, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italia; 2Dipartimento di Diagnosi Clinica Chirurgica e Scienze Pediatriche, Servizio di Terapia del Dolore, Università di Pavia-Fondazione IRCCS Policlinico San Matteo, Pavia, Italia; 3Istituto di Anestesia e Rianimazione, Università Cattolica del Sacro Cuore, Policlinico “A. Gemelli”, Roma, Italia; 4Department of Anesthesia and Intensive Care Medicine, Cork University Hospital and University College Cork, Wilton, Cork, Ireland; 5Department of Anesthesiology and Intensive Care, Hôpital de la Pitié-Salpètrière, Paris, France; 6Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, Giresum University, Giresum, Turkey; 7Pulmonary Engineering Group, Department of Anesthesiology and Intensive Care Therapy, University Hospital Carl Gustav Carus, Dresden University of Technology, Dresden, Germany; 8Dipartimento di Anestesia, Casa di Cura Città di Roma, Roma, Italia
ABSTRACT Background. We organized a training program for oral fiber optic intubation (FOI) under conscious sedation. The efficacy of the program was evaluated by comparing the performances of experts and novices. Methods. The training procedure was divided into two sessions: a theoretical session on difficult airways, the fiber optic bronchoscope (FOB), remifentanil, topical anesthesia and patient interactions; and a session involving simulations of the FOI technique on dummies. For in vivo FOI, we enrolled patients requiring orotracheal intubation for elective surgery. Electrocardiograms, mean arterial pressurewas railroaded over the fiberscope, and tracheal intubati6 and 7) FOIs, respectively, joined the study. To reach±23 bpm, P=0.02), and RR was decreased (from 16±3 to 12±4 bpm, P1.5, thrombocytopenia
