British Journal of Anaesthesia, 2002, Vol. 89, No. 4 586-593
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia
Clinical Investigations |
Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects
Department of Anaesthetics, Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich NR4 7UZ, UK*Corresponding author: Department of Anaesthetics, James Paget Hospital, Lowestoft Road, Great Yarmouth, Norfolk NR31 6LA, UK
Background. We describe a practical method of training anaesthetists in the technique of awake fibreoptic intubation. This is performed on a training course using the delegates as subjects.
Methods. The first 15 subjects underwent cardiovascular monitoring during airway fibreoptic endoscopy performed by other course members. They were subsequently interrogated by use of a questionnaire.
Results. Evidence from questionnaires suggests this method of instruction is acceptable in this self-selected group of individuals. Gagging was the commonest unpleasant side-effect of airway endoscopy, although only one delegate rated this as uncomfortable. Fifty-four per cent of subjects found the procedure slightly painful; 46% reported no pain at all. Overall, the procedure was rated as acceptable by 85% of subjects and enjoyable by 15% of subjects. No delegate found endoscopy or intubation distressing. Cardiovascular monitoring revealed pulse rate and arterial pressure changes of less than 25% of baseline values. Paraesthesia developed in one individual and nasal bleeding in two cases, neither of which was clinically significant and did not interfere with endoscopy.
Conclusions. The use of course delegates as subjects for training was acceptable to anaesthetists and is associated with a low level of discomfort and morbidity.
Br J Anaesth 2002; 89: 586–93
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  F. S. Xue, H. P. Liu, N. He, Y. C. Xu, Q. Y. Yang, X. Liao, X. Z. Xu, X. L. Guo, and Y. M. Zhang Spray-As-You-Go Airway Topical Anesthesia in Patients with a Difficult Airway: A Randomized, Double-Blind Comparison of 2% and 4% Lidocaine Anesth. Analg., February 1, 2009; 108(2): 536 - 543. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. M. Woodall, R. J. Harwood, and G. L. Barker Complications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course Br. J. Anaesth., June 1, 2008; 100(6): 850 - 855. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. P. Marsland, K. M. Martin, P. D. Larsen, and R. Segal Lidocaine Toxicity in Volunteer Subjects Undergoing Awake Fiberoptic Intubation Anesth. Analg., August 1, 2005; 101(2): 607 - 607. [Full Text] [PDF]
|
|
|
|
|
|
K. M. Martin, P. D. Larsen, R. Segal, and C. P. Marsland Effective Nonanatomical Endoscopy Training Produces Clinical Airway Endoscopy Proficiency Anesth. Analg., September 1, 2004; 99(3): 938 - 944. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Frerk, V. Patil, G. L. Barker, R. J. Harwood, and N. M. Woodall Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects Br. J. Anaesth., February 1, 2003; 90(2): 258 - 259. [Full Text] [PDF]
|
|