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Last Updated 3/14/07
Fiberoptic Bronchoscopy Intubation Video

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The fiberoptic bronchoscope (FOB) is a flexible device and as such cannot be used to move tissues.  An expensive device, it is re-used after sterilization but there have been reports of infection caused by improper sterilization of FOBs.  FOBs are also fragile (especially the glass fiber).  It has traditionally been the gold standard for management of the difficult airway   It requires a different grip (dagger grip) from direct laryngoscopy and the steering is complex.  It cannot be used instantly because it requires set-up (focus, view orientation and camera) and is not universally available.  The learning curve is prolonged requiring 45 uses to achieve expert skill status.