Acute Awake Fiberoptic Intubation in the ICU in a Patient with Limited Mouth Opening and Hypoxemic Acute Respiratory Failure

Author:

Hannig Kjartan E.1ORCID,Hauritz Rasmus W.1ORCID,Jessen Christian2,Grejs Anders M.3

Affiliation:

1. Department of Anesthesiology, Kolding Hospital, 6000 Kolding, Denmark

2. Department of Anesthesiology, Horsens Hospital, 8700 Horsens, Denmark

3. Department of Intensive Care Medicine, Aarhus University Hospital, 8200 Aarhus N, Denmark

Abstract

The incidence and survival of patients with head-and-neck cancer have been on the increase for decades. Following surgery or radiation therapy, complications such as difficult airways may evolve. These difficult airways may be unique and not manageable with conventional intubation methods as well as video laryngoscopes. Acute awake fiberoptic intubation may be a feasible option also for urgent emergency airway management of known difficult airways. The “cannot intubate–cannot oxygenate” (CI–CO) situation has to be avoided at all costs, since emergency cricothyrotomy has a fail ratio of more than 50% when performed by an anesthesiologist.

Publisher

Hindawi Limited

Subject

Anesthesiology and Pain Medicine

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