Flexible Fibreoptic Bronchoscopy


  •   S. Bala Bhaskar Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences (VIMS), Ballari - 583104, Karnataka




Anaesthesia Fibreoptic Intubation, Awake Fibreoptic, Difficult Airway, Intubation


Among the various options available for difficult airway management, flexible fibreoptic bronchoscopy is still considered as the Gold Standard technique, even after the recent revolutionary inventions such as the supraglottic airway devices and the video laryngoscopes. The utility has expanded to involve combined use with these new devices also, complementing one another. Familiarity with the device and its components and training are very important for successful use. The patient cooperation, the techniques and drugs for airway blocks, role of continuous oxygenation, sedation, anticholinergics and positioning are some of the important considerations. It is mandatory for the endoscopist to follow a strict protocol in the operating room in terms of care and maintenance of this costly equipment.


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How to Cite

Bhaskar, S. B. (2020). Flexible Fibreoptic Bronchoscopy. Karnataka Anaesthesia Journal, 18(3-4), 51–60. https://doi.org/10.4103/kaj/2020/v18i3-4/170184



Review Article


Ikeda S. Atlas of Flexible Bronchofiberoscopy, Baltimore, University Park, 1974.

Murphy P. A fibre-optic endoscope used for nasal intubation. Anaesthesia, 1967; 22:489-491. https://doi.org/10.1111/j.1365-2044.1967.tb02771.x. PMid:4951601.

Conyers AB, Wallace DH, Mulder DS. Use of the fiber optic bronchoscope for nasotracheal intubation: Case report. Can Anaesth Soc J, 1972; 19:654-656. https://doi.org/10.1007/ BF03006110. PMid:4635833.

Taylor PA, Towey RM. The broncho-fiberscope as an aid to endotracheal intubation. Br J Anaesth, 1972; 44:611-612. https://doi.org/10.1093/bja/44.6.611. PMid:5045554.

Stiles CM, Stiles QR, Denson JS. A flexible fiber optic laryngoscope. JAMA, 1972; 221:1246-1247. https://doi. org/10.1001/jama.221.11.1246, https://doi.org/10.1001/jama.1972.03200240028007.

Melissa W, Andranik O. Fiberoptic endoscopy. In: Benumof ’s Airway Management, Ed. Hagberg; 2nd ed. Mosby Elsevier; 2007. p. 399-438. https://doi.org/10.1016/B978-032302233-0.50025-1. PMid:17110498 PMCid:PMC1775017.

Orebaugh, Steven L. Atlas of airway management: Tools and techniques: 1st Edition: Lippincot Williams and Wilkins; 2007. p. 122-134.

Darling JR, Keohane M, Murray JM. A split laryngeal mask as an aid to training in fibreoptic tracheal intubation. A comparison with the Berman II intubating airway. Anaesthesia, 1993; 48:1079-1082. https://doi.org/10.1111/j.1365-2044.1993.tb07533.x. PMid:8285331.

Ovassapian A, Yelich SJ, Dykes MH, Golman ME. Learning fibreoptic intubation: Use of simulators v. traditional teaching. Br J Anaesth, 1988; 61:217-220. https://doi.org/10.1093/ bja/61.2.217. PMid:3415894.

Dykes MH, Ovassapian A. Dissemination of fibreoptic airway endoscopy skills by means of a workshop utilizing models. Br J Anaesth, 1989; 63:595-597. https://doi.org/10.1093/bja/63.5.595. PMid:2605077.

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