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Related Experiment Video

Updated: May 16, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow

Published on: January 13, 2017

Office airway surgery.

Peter C Belafsky¹, Maggie A Kuhn

¹Department of Otolaryngology/Head and Neck Surgery, Center for Voice and Swallowing, School of Medicine, University of California at Davis, Sacramento, CA 95817, USA. pbelafsky@sbcglobal.net

Otolaryngologic Clinics of North America

|November 27, 2012

Summary

Flexible bronchoscopy, using advanced endoscopes, is now standard for airway evaluation and intervention. Many procedures can be done in-office with local anesthesia, improving patient care and reducing costs.

Area of Science:

Pulmonology
Medical Device Technology

Background:

Flexible endoscopes revolutionized airway examination and intervention.
Flexible bronchoscopy is now the standard of care for tracheobronchial tree assessment.

Purpose of the Study:

To highlight the benefits of flexible bronchoscopy in modern medical practice.
To emphasize the shift of procedures from specialized suites to office settings.

Main Methods:

Review of flexible endoscope advancements.
Analysis of procedural changes in tracheobronchial tree evaluation.

Main Results:

Flexible bronchoscopy allows for evaluation and intervention in the tracheobronchial tree.
Procedures can be performed with topical anesthesia, without sedation, in office settings.

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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow

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Conclusions:

Office-based flexible bronchoscopy offers cost savings and provider flexibility.
Patient safety, satisfaction, and limited convalescence are key benefits.