Search results
Jul 1, 2024 · 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:
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 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 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.
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.
Mar 16, 2015 · The purpose of this was to let them gain experience, understand what their patients would feel during the procedure, and to prove that awake intubation can be done without complicated nerve block injections or fragile equipment, such as a bronchoscope. Here is the procedure for ED Awake Intubation–EMCrit Style: DRY THEM OUT & PRETREAT GAG.
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.
Dec 1, 2023 · Awake tracheal intubation (ATI) involves placing an endotracheal tube in a spontaneously breathing, awake or lightly-moderately sedated patient, most commonly with a flexible intubating scope or video laryngoscope.
Mar 26, 2021 · Videolaryngoscopy or fibreoptic bronchoscopy for awake intubation of bariatric patients with predicted difficult airways – a randomised, controlled trial
Awake video laryngoscopy is emerging as a useful alternative to awake fibreoptic intubation. A middle-aged ASA II patient with obstruct-ive sleep apnoea and a BMI of 35 kg.m22 required a total thyroidectomy. The patient had limited cervical spine mobility, tra-cheal deviation and it was noted that a surgical airway would be difficult.
