Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.11, sa.2, ss.141-146, 2003 (Scopus)
Fiberoptic intubation is an alternative method in the management of difficult airways. With the routine utilization of the fiberoptic bronchoscope, awake fiberoptic intubation has become the gold standard in patients known or predicted to have difficulty in airway management. In this study we aimed to evaluate fiberoptic endotracheal intubations performed in our clinic between August 1st 1998 and February 1st 2002 retrospectively. We found the time of fiberoptic tracheal intubation 3,42±10,87 min. in patients under general anesthesia and 2,25±1,14 min in sedated patients. The incidence of complications were 13% in patients under general anesthesia and 16% in sedated patients. There were no statistically significant differences in intubation time, complications and laryngoscopic visualization between general anesthesia and sedation groups. When the appearance of the vocal cords, coughing, jaw relaxation and extremity movements were compared, the conditions of patients under general anesthesia were found to be superior than the sedated patients with statistical significance. In terms of desaturation fiberoptic intubations performed with sedation were more safe. However better intubation conditions and less difficulties had been observed under general anesthesia.