[Transorbital fiberoptic intubation: a predictable difficult intubation in cephalic surgery]

Area of Science:

• Anesthesiology
• Airway Management

Background:

• Difficult adult airway management presents a significant challenge in anesthesia, contributing to mortality and morbidity.
• Effective strategies for managing unexpected difficult airways are essential for patient safety.

Observation:

• A rare case of a patient requiring orotracheal intubation through the orbital cavity is presented.
• The case necessitated a novel approach to secure the airway in a highly compromised situation.

Findings:

• The study details a specific intubation technique through the orbital cavity, comparing it with other rare procedures.
• The anesthetic protocol emphasized preserving spontaneous ventilation, utilizing short-acting anesthetic drugs.

Implications:

• This case expands the understanding of extreme difficult airway management techniques.
• The findings underscore the importance of adaptable anesthetic protocols and the benefits of spontaneous ventilation in critical airway scenarios.