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Updated: Jan 3, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Acute Awake Fiberoptic Intubation in the ICU in a Patient with Limited Mouth Opening and Hypoxemic Acute Respiratory
Kjartan E Hannig1, Rasmus W Hauritz1, Christian Jessen2
1Department of Anesthesiology, Kolding Hospital, 6000 Kolding, Denmark.
Abstract:
The incidence and survival of patients with head-and-neck cancer have been on the increase for decades. Following surgery or radiation therapy, complications such as difficult airways may evolve. These difficult airways may be unique and not manageable with conventional intubation methods as well as video laryngoscopes. Acute awake fiberoptic intubation may be a feasible option also for urgent emergency airway management of known difficult airways. The "cannot intubate-cannot oxygenate" (CI-CO) situation has to be avoided at all costs, since emergency cricothyrotomy has a fail ratio of more than 50% when performed by an anesthesiologist.
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