In patients with unstable necks and at risk of pulmonary aspiration, awake fibreoptic intubation is often appropriate. However, stabilization of the neck can make fibreoptic intubation more difficult. I report the use of awake nasal intubation using the Pentax-Aiway Scope (AWS) in three patients with restricted neck movement, in whom awake fibreoptic intubation had failed. Case 1: a 59-yr-old m...

Submit Manuscript | http://medcraveonline.com Society of Anaesthesiologist [1]. Video laryngoscopes have high percentages of Cormack-Lehane grades 1 and 2 in patients with predicted difficult airways and high successful intubation rate [2]. It is indicated for intubation in awake patient when there are suspected difficult conventional laryngoscopy and intubation or difficult bag and mask ventil...

Corresponding author: Jin-Kyoung Kim, M.D., Ph.D., Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, Korea. Tel: 82-2-3410-2477, Fax: 82-2-3410-6626, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial L...

Topical anesthesia of the airway is a necessary for awake intubation and is usually achieved using lidocaine delivered by various means. Although some experts favor the use of airway blocks, a more common approach is to use pure topical methods in combination with "spray as you go" techniques. Once the topicalization is complete, the patient should be able to easily tolerate the use of an oral ...

BACKGROUND The incidence of difficult intubations has consistently remained between 8 and 9%. We found a novel approach to the difficult intubation using a Glidescope in the awake spontaneously breathing patient. METHODS In a difficult airway, the same approach for an awake fiberoptic intubation including excellent nerve blocks and sedation can be used with a Glidescope in the same fashion as...

The Airtraq laryngoscope (AL) is a new single use indirect laryngoscope designed to facilitate tracheal intubation in anaesthetised patients either with normal or difficult airway anatomy. It is designed to provide a view of the glottis without alignment of the oral, pharyngeal and tracheal axes. We report four cases of successful awake tracheal intubation using the AL. The first case is a pati...

Awake intubation with fiberoptic bronchoscopy (FOB) is a popular technique in patients with difficult intubation criteria. Preservation of spontaneous respiration by nasotracheal intubation with FOB accompanied by sedation was performed in a case assessed as difficult intubation due to a high Mallampati score at preoperative evaluation and the presence of a mass extending to the oral cavity. Fo...