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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
Published on: August 2, 2024
Update on tracheobronchial anatomy and flexible fiberoptic bronchoscopy in thoracic anesthesia
1Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. javier-campos@uiowa.edu
Purpose Of Review:
This review is focused on tracheobronchial anatomy and the use of flexible fiberoptic bronchoscopy in thoracic anesthesia.
Recent Findings:
A complete knowledge of tracheobronchial anatomy is a key factor in determining proper position of lung isolation devices, namely double-lumen endotracheal tubes and bronchial blockers. In addition, changes occur in tracheobronchial anatomy with age; therefore, it is very important that every anesthesiologist is familiar with these anatomical changes in order to recognize anatomical landmarks and perform a successful placement of lung isolation devices. Flexible fiberoptic bronchoscopy must be considered an art in the practice of thoracic anesthesia.
Summary:
Recognition of tracheobronchial anatomy and familiarity with the use of flexible fiberoptic bronchoscope are key components while managing patients undergoing thoracic surgery and anesthesia.
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