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Updated: May 27, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Awake fiberoptic intubation in a pediatric patient with Tessier's cleft: Navigating the challenges
Jyoti Sharma1, Ruhi Sharma2, Mohd A Mir3
1Department of Anaesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Abstract:
Awake fibreoptic intubation is the gold standard of airway management in anticipated difficult airways. Paediatric patients with orofacial defects pose unique challenges to the anaesthetist as management requires meticulous planning and preparation as well as titration of drugs to maintain spontaneous ventilation without losing the airway. We report a case of an 11-year-old patient with Tessier cleft type 4,6 posted for orbital reconstruction and discuss the management with awake fibreoptic intubation.
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