Does Blind Digital Intubation Have a Role?
The paper outlines the technique, required personnel and equipment as well as potential difficulties. In their own hospital, the authors conducted a comparison of blind digital intubation versus ultrasound-guided intubation, with 30 patients analysed using each technique. The results were similar, and the authors concluded that in patients without any difficulties for intubation, the blind digital technique achieves successful tracheal intubation in a high proportion of cases. The use of ultrasound slightly improves such results, improves safety and reliability and builds self confidence and skills of the doctor performing digital intubation.
An accompanying discussion by Edwin Seet and Chandra M Kumar, notes the successful use of ultrasound, and suggests: “In the current era where rear-view cameras are commonplace in the automobile industry to ensure safety, the imperative is for the anaesthesia community to embrace technology and change for the better. Intubation perhaps should not be blind anymore.”
Source: Trends in Anaesthesia and Critical Care
Image credit: Wikimedia Commons By Vavoor - Own work, CC BY-SA 3.0
Seet E, Kumar CM Digital intubation: never blind anymore. Trends in Anaesthesia and Critical Care. In press. DOI: http://dx.doi.org/10.1016/j.tacc.2016.03.002
Published on : Tue, 22 Mar 2016
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