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  1. 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.

  2. 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:

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.