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Awake fibreoptic intubation (AFOI) is an essential skill in the management of a patient with a known difficult airway (who has previously required AFOI or other procedures and adjuncts aside from normal airway adjuncts for ventilation and intubation), or who has an anticipated difficult airway as found during the airway assessment preoperatively.
Nov 3, 2020 · OVERVIEW. can be performed using direct or video laryngoscopy or using a fiberoptic scope, and various methods of topicalisation/ local anaesthesia are described. surgical airways can also be performed awake, using local anaesthesia. INDICATIONS. In general, awake intubation should be preferred if:
Nov 14, 2019 · Awake tracheal intubation has a high success rate and a favourable safety profile but is underused in cases of anticipated difficult airway management. These guidelines are a comprehensive document to support decision making, preparation and practical performance of awake tracheal intubation.
Awake fiberoptic intubation is one of the recommended strategies for surgical patients with anticipated difficult airway, especially when concurrent difficult ventilation is expected.
Apr 25, 2014 · Awake video laryngoscopy is emerging as a useful alternative to awake fibreoptic intubation. A middle-aged ASA II patient with obstructive sleep apnoea and a BMI of 35 kg.m −2 required a total thyroidectomy.
Jun 15, 2022 · Awake tracheal intubation (ATI) is defined as successful placement of a tracheal tube in a patient who is awake and breathing spontaneously. It comprises several techniques aimed at successfully securing the airway of patients in whom factors may predict difficult airway management.
Awake intubation may be indicated when there is known or suspected difficulty with mask ventilation or tracheal intubation (Table 1). In cases of isolated difficult direct laryngoscopy, where mask ventilation is possible, asleep tech-niques may be more appropriate. Under these in management of the difficult airway.
If the patient is awakened, then the preferred options are regional anaesthesia or awake intubation. However, there is no specific guidance on the use of FOI in these updated guidelines. Awake intubation may be via either the FOB or VL device. The oral route is preferred to avoid epistaxis.
Jan 20, 2021 · Since the 1960s, awake fiberoptic intubation (AFOI) has been established as the gold standard for anticipated difficult tracheal intubation. 1 AFOI usually requires good sedation, patient cooperation, and preserved spontaneous respiration.
Dec 1, 2021 · Awake fiberoptic intubation is an indispensable technique that every anesthesiologist should be familiar with. Adequate topicalization, sedation and hand-eye coordination results in a safe, smooth, painless, and anxiety-free intubation for the patient.
