Difficult Intubation

According to the collective expertise of 1996 of SFAR (French company of Anesthesia and Reanimation), one considers that a Intubation trachéale is difficult for a experienced Anesthésiste, when it requires more than 10 minutes and/or more than two Laryngoscopie S, in the Position modified of Jackson, with or without laryngée compression (Manœuvre of Sellick).

Carriages of intubation

The last conference of experts of SFAR describes the composition recommended of the carriages for difficult intubation in various situations: in anesthesia-reanimation, pediatry, emergency medicine.

; Composition recommended of a carriage of difficult intubation in anesthesia or reanimation

Grip of Magill
Probes of intubation of sizes different
metal Blades from Macintosh of all sizes
long Chucks crutches
LMA-Fastrach of different sizes
direct Device initially trachéal: set of cricothyroidotomy
Device of oxygenation transtrachéale validated (injecting handbook)
hollow exchanging Guide of extubation
Fibroscope
Mask adapted (of Fibroxy type) and nozzles of assistance to the fibroscopy
Concerning the fibroscope, this one can be available on an individualized carriage of the difficult carriage of intubation where the source of light will be, the fibroscope and all accessories necessary to the realization of the endoscopy (the localization of this carriage must be known of all).

; Pediatric characteristics The material available must be adapted to the size and the weight of the children dealt with.

right Lames of Miller
LMA-Fastrach cuts 3 for the children of more than 30 kg
Masques laryngés of sizes different for the children from less than 30 kg

; Composition of a carriage or difficult case of intubation in emergency Medicine

Grip of Magill
Probes of sizes different
metal Blades from Macintosh of all sizes
long Chucks crutches
LMA-Fastrach
Set of cricothyroidotomy

References

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