Sitting Nasal Intubation With Fiberoptic in an Elective Mandible Surgery Under General Anesthesia Publisher



Etemadi SH¹ ; Bahrami A² ; Farahmand AM² ; Zamani MM³
Source: Anesthesiology and Pain Medicine Published:2015

Abstract

Introduction: Patients with mandible deformity may die, as a result of airway management failures. The awake nasal fiberoptic intubation is known as the optimum intubation method, in the mentioned patients, although, in several cases, fiberoptic intubation fails. Case Presentation: The present case discusses a patient with severe deformity of mandible that was admitted for correction with free-flap. The following intubation techniques were used for her airway management, respectively: blind awake nasal intubation, awake oral fiberoptic and awake nasal fiberoptic, which failed all. We therefore decided to perform awake nasal intubation, with fiberoptic, in sitting position. Conclusions: In this case, after failure of awake fiberoptic intubation, awake direct laryngoscopy and blind nasal intubation, finally awake nasal intubation in sitting position, using fiberoptic led to success. © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM).