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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