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Updated: Jan 28, 2026

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
Awake Intubation via an Ambu AuraGain in a Patient With Extreme Obesity: A Case Report
Wan Yen Lim1, Constance Ee Hoon Teo2, Patrick Wong1
1From the Departments of Anaesthesiology and Intensive Care.
Abstract:
Severe obesity is associated with increased morbidity and mortality. Airway management is challenging due to difficulties in positioning and airway management and altered pulmonary physiology. We report a case of awake flexible bronchoscopic intubation via an Ambu AuraGain in a patient with a body mass index of 54 kg/m scheduled for elective thyroidectomy. The procedure was well tolerated and easily performed in the full sitting position for optimal airway and ventilation and cardiovascular stability during intubation. To our knowledge, this is the first published report of awake flexible bronchoscopic intubation via an AuraGain, and we discuss our rationale for using this technique.
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