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

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Conference Proceeding

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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.


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