Secrets to a successful awake fibreoptic intubation on a patient with odentogenous abscess

• Main Authors: Ming, Kai Teah, Huey, Esther Ring Liew, Teck, Melvin Fui Wong, Yeap, Boon Tat
• Format: Article
• Language: English; English
• Published: BMJ Publishing Group 2021
• Subjects: R Medicine (General); RD Surgery
• Online Access: https://eprints.ums.edu.my/id/eprint/27286/1/Secrets%20to%20a%20successful%20awake%20fibreoptic%20intubation%20on%20a%20patient%20with%20odentogenous%20abscess%20FULL%20TEXT.pdf; https://eprints.ums.edu.my/id/eprint/27286/2/Secrets%20to%20a%20successful%20awake%20fibreoptic%20intubation%20on%20a%20patient%20with%20odentogenous%20abscess%20ABSTRACT.pdf; https://eprints.ums.edu.my/id/eprint/27286/; https://casereports.bmj.com/content/bmjcr/14/2/e238600.full.pdf?casa_token=6zR60aJhTo8AAAAA:DsQrVPyIdbBN8pG25tvLxCkIgURFSiN3vEWio9QtRekmKE3DwPMmOxOWE5LgvOgaG-9dkbaoI0XKhA
• Institution: Universiti Malaysia Sabah

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.