Fiberoptic Intubation (FOI)
    	     
    
		
        	
            
	                						
						 
	                     
							
											
	                        
9.12
Fiberoptic Intubation (FOI)
- FOI must be done in a controlled setting with excellent support and availability to surgical airway
 
- Spontaneous ventilation is maintained while balancing a degree, albeit it “light,” sedation for the patient as the priority is not to lose the airway
 
- Awake fiberoptics primarily discussed here
 
- Indications
- Previous difficult airway
 
- Predictors of difficult airway
 
- Previous major head and neck surgery
 
- Previous head and neck radiation therapy
 
- Head and neck trauma
 
- Odontogenic or other infection compromising airway
 
- Pathology involving the neck and airway tissues
 
- Head and neck anatomic anomalies
 
- Elevated risk of aspiration
 
- Unstable cervical spine injury 
 
 
- Contraindications
- No real contraindications other than requiring additional time, and likely, increased discomfort to the patient 
 
 
Patient Preparation
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