Awake Intubation With Fiberoptic Bronchoscope Vs. Videolaryngoscopy For Difficult Airway Management

Authors

Jessica Zhang, Beaumont Health Resident
Sheridan Markatos, Beaumont Health Resident
Julie Kado, Beaumont Health
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding

Publication Date

10-24-2022

Abstract

A 70-year-old female with a history of long standing multinodular goiter and hyperthyroidism was admitted to the ICU with worsening dyspnea and dysphagia. Due to risk of impending respiratory compromise, she was taken to the OR for controlled awake intubation with fiberoptic bronchoscope (FOB). Several FOB attempts failed due to severe cervical pharynx compression, agitation refractory to light-to-moderate sedation, and copious secretions. Ultimately, she was intubated awake via videolaryngoscopy and subsequently underwent thyroidectomy days later. In this presentation, we will discuss the management of the difficult airway and benefits and risks of FOB versus videolaryngoscopy for awake tracheal intubation.

Comments

American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.

Recommended Citation

Zhang J, Markatos S, Kado J, Soto R. Awake intubation with fiberoptic bronchoscope vs videolaryngoscopy for difficult airway management. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.