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Updated: Jan 11, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Anesthesia for Endoscopic Procedures
Krishnan S Ramanujan1, Benjamin T Kor1, Benjamin D Brakke1
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Abstract:
Nonoperating room anesthesia has become an increasingly significant part of anesthetic practices, with endoscopy comprising a large portion of these cases. Unique considerations for anesthesia for endoscopy include specific gastrointestinal conditions which predispose patients to aspiration, as well as particular endoscopic procedures that may require endotracheal intubation. Finally, advances in anesthetic practice have emerged in endoscopy practices as well, creating novel ways to care for patients in unconventional settings. This article goes over management of patients for endoscopy and recent advances in this area that can further optimize patient care in this setting.
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