ANTICIPATED DIFFICULT AIRWAY MANAGEMENT – ROLE OF AWAKE FIBREOPTIC INTUBATION

Phạm Thị Lan; Đặng Quang Dũng; Đỗ Thị Nga

doi:10.34238/tnu-jst.9595

ANTICIPATED DIFFICULT AIRWAY MANAGEMENT – ROLE OF AWAKE FIBREOPTIC INTUBATION

About this article

Received: 15/01/24 Revised: 25/03/24 Published: 05/04/24

Authors

1. Pham Thi Lan , TNU - University of Medicine and Pharmacy
2. Dang Quang Dung, Thai Nguyen National Hospital
3. Do Thi Nga, Thai Nguyen National Hospital

Abstract

The study reports a clinical case where anticipated difficult airway was managed with awake fibreoptic intubation. The study used a linical case report method. The case was a 44-year-old woman, ASA I, BMI 24 kg/m², presented for supraclavicular flap reconstruction because of scars sticking to the face and neck due to an explosion of a gas cylinder 20 years ago. After taking the history and examining the airway, the patient had a difficult airway to intubate including difficult facemask ventilation, difficult laryngoscopy, difficult supraglottic airway ventilation, difficult tracheal intubation and a difficult airway for invasive breathing. Proceduce result showed that the patient was successfully controlled the airway for the first time with awake oral fiberoptic intubation. Research results idicated that awake fibreoptic intubation appears to be a valid and safe approach to manage anticipated difficult airway.

Keywords

Difficult airway; Airway management; Fibreoptic intubation; Awake intubation; Anesthesia

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References

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DOI: https://doi.org/10.34238/tnu-jst.9595

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