FIBEROPTIC AWAKE INTUBATION


INDICATION
■ Spontaneously breathing patient with an anticipated difficult airway
        ■ Suspected laryngeal abnormalities
        ■ Poor mouth opening
CONTRAINDICATIONS
■ Copious blood or secretions
■ Inadequate oxygenation or ventilation (because of time required for procedure)
PROCEDURE
■ Anesthetize nasal and/or oral mucosa as with awake intubation.
        ■ Nasopharyngeal approach is preferred.
                ■ Easier angle of insertion
                ■ More defined path of insertion
                ■ Better tolerated by patient
■ Insert scope "loaded" with ET tube and advance through cords under direct visualization.
■ Advance ET tube.
■ Confirm placement.