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Published on: August 2, 2024
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Awake Fiberoptic Intubation in a Patient With Esophageal Squamous Cell Carcinoma.
Ayesha Yousaf1, Richard Smilie1, Jeremy Fam1
1Anesthesiology, University of Texas Medical Branch, Galveston, USA.
Cureus
|August 29, 2025
Summary
Awake fiberoptic intubation successfully managed a patient with upper esophageal squamous cell carcinoma and a subclavian pseudoaneurysm. This technique maintained spontaneous breathing and airway reflexes in a complex case.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Otolaryngology
Background:
- A 72-year-old female with upper esophageal squamous cell carcinoma (SCC) presented with hemoptysis.
- The hemoptysis was attributed to a subclavian pseudoaneurysm, posing a significant airway management challenge.
Observation:
- The patient required intubation for airway management due to the precarious condition.
- Awake fiberoptic intubation was chosen to preserve spontaneous respiration and airway reflexes.
Findings:
- The procedure utilized dexmedetomidine for sedation and topical anesthesia.
- Successful intubation was achieved while maintaining spontaneous breathing and protective airway reflexes.
Implications:
- Awake fiberoptic intubation is a viable strategy for complex airway management in patients with critical conditions.
- This case highlights the importance of tailored anesthetic techniques for high-risk surgical patients.
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