Editor, I would like to present a method of local anaesthesia for ‘awake intubation’, i.e. intubation in a conscious patient under local anaesthesia and sedation using the Truview PCD laryngoscope (Truphatek, Israel), for cases of anticipated difficult intubation. The use of video laryngoscopes for awake intubation has been described in the literature as a good alternative to fibreoptic intubat...

BACKGROUND Awake fiberoptic intubation is the gold standard for management of predicted difficult intubation. The purpose of this study was to test whether Glide Scope video laryngoscopy (GVL) will provide significant advantages over fiberoptic bronchoscopy (FOB) for awake intubation in morbidly obese patients with predicted difficult intubation. We therefore tested the hypothesis that intubati...

BACKGROUND Awake fiberoptic bronchoscopic tracheal intubation is usually regarded as an effective method in the management of predicted difficult airway. Hypoxia during awake nasal fiberoptic bronchoscopic intubation leads to discontinuation of the procedure, prolonged manipulation time and increased risk of severe complications. The main aim of the study was to test whether the novel endoscopi...

BACKGROUND Awake tracheal intubation may evoke reflex bronchoconstriction in asthmatics. Whether this effect is altered by the choice of the local anesthetic used or by pretreatment with a beta2-adrenoceptor agonist is unknown. Therefore, we assessed the effect of awake fiberoptic intubation after lidocaine or dyclonine inhalation with or without pretreatment with salbutamol on lung function in...

The study aims to evaluate the efficacy of two doses of dexmedetomidine for sedation during awake fiberoptic intubation (AFOI). The study was designed in a prospective, randomized, double-blinded manner and carried out in an academic medical university. Forty young co-operative patients aged 15-45 years of either sex belonging to ASA class I-II, planned for elective maxillo-facial surgery forme...

Patients with Morquio syndrome possess a number of characteristics which may complicate an anaesthetic procedure. The most important is that a deposition of mucopolysaccharides in the soft tissues of the oro-pharynx distorts the airway, making the airway management difficult, while the atlanto-axial instability puts these patients at risk of subluxation and quadriparesis. As the endotracheal in...

To the Editor: In a randomized clinical trial, Rosenstock et al.1 showed no significant difference in time to awake intubation by experienced investigators using the McGrath video laryngoscope (MVL) compared with the fiberoptic bronchoscope (FOB) in difficult airway patients. Accordingly, the authors conclude that awake MVL intubation seems to be a potential alternative to awake fiberoptic intu...