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Vol. 29. Issue 4.
Pages 165-167 (May 1993)
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Vol. 29. Issue 4.
Pages 165-167 (May 1993)
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Intubación endotraqueal difícil: utilidad del broncofibroscopio
Difficult endotracheal intubation: the use of bronchofíberoscopy
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R. Jolis, M.C. Puzo, J. Castella, C. Abeledo, L. Hernández
Servicios de Respiratorio, Hospital de la Santa Creu i Sant Pau. Barcelona
J.A. Fernández*
* Servicios de Anestesiología y Reanimación. Hospital de la Santa Creu i Sant Pau. Barcelona
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La intubación endotraqueal difícil se defíne como una inadecuada visualización de la glotis y es causa de una mayor morbilidad y mortalidad en la práctica médica. En los últimos años se ha introducido la utilización del broncofibroscopio (BF) en la ayuda a este tipo de intubaciones.

Se expone la metodología utilizada en 15 intubaciones difíciles mediante BF en 13 enfermos. Se analiza la patología de base, la causa de intubación con BF, la vía de introducción, el BF utilizado y las complicaciones.

Se concluye que el BF, especialmente el de 5 mm de diámetro externo, es muy eficaz en la ayuda a intubaciones difíciles siempre que se tenga experiencia en su manejo.

Difficult endotracheal intubation is defined as inadequate visualization of the glotis and is the greatest cause of morbidity and mortality in medical practice. In the last few years the use of bronchofiberoscopy (BF) has been introduced in aid of this type of intubation.

The methodology used in 15 difficult intubations by BF in 13 patients is reported. The base pathology, the cause of intubation with BF, the route of introduction, the BF used and the ccmplications were analyzed.

It was concluded that BF, specially that of an external diameter of 5 mm, is very effective in the aid of difficult intubations when carried out with experience

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Copyright © 1993. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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