Perhaps the single most common reason for the reluctance of clinicians to attempt flexible endoscopic intubation is lack of experience, and therefore skill, with the bronchoscope.  There seems to be widespread perception that endoscopic intubation is difficult and time-consuming.  Nothing could be further from the truth!  With the proper technique and about a dozen attempts, the typical clinician can become …

Here are several tips and tricks to help you become adept at endoscopic intubation very quickly. 1. Unless contraindicated, give the patient glycopyrrolate (0.1 mg IV) several minutes before intubation to reduce saliva formation. 2. To allow the endotracheal tube to pass more easily through the vocal folds, lubricate the cuff with a water-soluble lubricant.  Consider using a flexible tip …

I live in Colorado and I like to ski.  When I began learning how to ski, I did so on very gentle green runs.  This is true of almost all skiers and snowboarders.  As a beginner, you learn on the easy stuff before attempting the more difficult stuff.  But a not-so-funny thing happens on the way to intubating a patient …