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

TY - JOUR

T1 - Acute Awake Fiberoptic Intubation in the ICU in a Patient with Limited Mouth Opening and Hypoxemic Acute Respiratory Failure

AU - Hannig, Kjartan E

AU - Hauritz, Rasmus W

AU - Jessen, Christian

AU - Grejs, Anders M

N1 - Copyright © 2019 Kjartan E. Hannig et al.

PY - 2019/10

Y1 - 2019/10

N2 - 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.

AB - 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.

U2 - 10.1155/2019/6421910

DO - 10.1155/2019/6421910

M3 - Journal article

C2 - 31772778

SN - 2090-6390

VL - 2019

JO - Case reports in anesthesiology

JF - Case reports in anesthesiology

M1 - 6421910

ER -