Secrets to a successful awake fibreoptic intubation (AFOI) on a patient with odentogenous abscess. Issue 2 (19th February 2021)

• Record Type: Journal Article
• Authors: Teah, Ming Kai; Liew, Esther Huey Ring; Wong, Melvin Teck Fui; Yeap, Tat Boon
• Is Part Of: BMJ case reports. Volume 14:Issue 2(2021)
• Publication Date: 2021-02-19
• Subjects: anaesthesia -- dentistry and oral medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-238600
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Awake fibreoptic intubation (AFOI) is an established modality in patients with anticipated difficulty with tracheal intubation. This case demonstrates that with careful and meticulous preparations, AFOI can lead to improved airway management and excellent patient outcomes. A 38-year-old woman presented with severe trismus secondary to odentogenous abscess was identified preoperatively as having a potential difficult airway. AFOI was performed successfully using combined Spray-As-You-Go and dexmedetomidine technique.