[Awake Intubation ; New Strategy, Safety Management and Trainings]

Awake intubation preserving spontaneous ventila- tion, is essential for managing difficult airways, and is recommended by the guidelines of the American Soci- ety of Anesthesiologists. The main indication includes anatomically difficult airways, full stomach, cervical instability, and vital signs indicative of shock. Various complications can lead to airway obstruction or hypoxia, such as vomiting, over-sedation, and swelling. Appropriate analgesia with a topical anesthetic or pe- ripheral nerve block and sedation with monitoring is essential for the success of awake intubation. Various new airway devices and sedatives are currently avail- able, and anesthesiologists should be familiar with their strengths and limitations. Training for awake intuba- tion should include a combination of clinical experience and simulation training.