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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Oct 16, 2024 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Fiberoptic Intubation (FOI)

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