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Updated: Sep 9, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
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.
Abstract:
This case report describes the successful use of awake fiberoptic intubation in a 72-year-old female with a history of squamous cell carcinoma (SCC) of the upper esophagus, presenting with hemoptysis secondary to a subclavian pseudoaneurysm. The patient underwent awake intubation using a combination of dexmedetomidine for sedation and topical anesthesia to facilitate intubation while maintaining spontaneous breathing and airway reflexes. This technique proved effective in addressing the patient's complex and precarious medical condition.
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