Revista Cubana de Anestesiología y Reanimación
versão On-line ISSN 1726-6718
CARDENAS GONZALEZ, Antonio; FERNANDEZ RAMOS, Humberto; POZO ROMERO, José Antonio e CORREA BORRELL, Mayda. Alternatives for the orotracheal intubation in case of a difficult airway in our environment. Rev cuba anestesiol reanim [online]. 2011, vol.10, n.2, pp. 101-112. ISSN 1726-6718.
The anesthesiologist is responsible for the control of the airway in the operating theatre who ending its training must to have developed the skills necessary to manage this demand. The appropriate control of the airway to guarantee a proper ventilation and oxygenation not only is essential in many anesthetic-surgical procedures but also in all those situations where the respiratory function is involved. In past years there has been appeared new devices and an improvement in past techniques of intubation and ventilation allowing us a great help in the management of this difficult airway. Objective: To assess the use of new tools for a difficult intubation. Development: A bibliographic review was carried out on the new tools for a difficult intubation now available in our hospital including a bright stylet, Eschmann's guide or gum elastic bougie, combitube to acquire the theoretical elements to be applied in the clinical practice. Conclusions: According to experience with these tools and the reviewed literature, the first option is the use of the combitube, the Eschmann guide or gum elastic bougie in the second place, and the bright stylet in the third one.
Palavras-chave : Eschmann's guide or gum elastic bougie; bright stylet; tracheal esophageal tube or combitube; insertion techniques; indications; contraindications; complications.