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Updated: May 19, 2026
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[Fibreoptic clinical training in anaesthesia. Course design and results based on a self-assessment survey]
E Rivas1, M Ubré, G Martínez-Pallí
1Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Clínic de Barcelona, Universitat de Barcelona, España. erivas@clinic.ub.es
Background And Objective:
Fibreoptic intubation is the technique of choice for resolving complications related to a difficult airway. Our aim was to determine whether a clinical-practice-based, individualized course provides sufficient training and confidence to allow anaesthetists to routinely practice fibreoptic intubation.
Methods:
Our hospital developed a clinical-practice-based, individualized course on fibreoptic intubation in general anaesthesia that provided practice in sedated spontaneously breathing patients and insertion through supraglottic devices. From 2005 to 2009, we e-mailed participants for response to an anonymous online self-assessment survey. We asked participants about the training outcomes and their overall degree of satisfaction.
Results:
Seventy-seven participants were sent the questionnaire six months after the course and 61% responded. All respondents considered themselves skilled in handling the bronchoscope at the end of the course and 97% used it in their routine practice in patients with difficult airways.
Conclusions:
These results suggest a high success rate can be expected from individually tailored fibreoptic intubation courses that supplement theory and mannequin experience with clinical practice.