Awake nasotracheal intubation with a 300-mm working length fiberscope: a prospective observational feasibility trial.

ABSTRACT:

Background

Awake fiberoptic tracheal intubation is an established method of securing difficult airways, but there are some reservations about its use because many practitioners find it technically complicated, time-consuming, and unpleasant for patients. Our main goal was to test the safety and efficacy of a 300-mm working length fiberscope (video rhino-laryngoscope) when used for awake nasotracheal intubation in difficult airway cases.

Methods

This was a prospective, single-center study involving adult patients, having an ASA physical status between I and IV, with laryngopharyngeal pathology causing distorted airway anatomy. Awake nasotracheal intubation, using topical anesthesia and light sedation, was performed using a 300 mm long and 2.9 mm diameter fiberscope equipped w

SUBMITTER: Marchis IF 

PROVIDER: S-EPMC10533966 | biostudies-literature | 2023 Sep-Oct

REPOSITORIES: biostudies-literature