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Updated: May 10, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Hypnosis as an Adjunct to Topical Anesthesia for Awake Intubation in a Patient With Difficult Airway: A Case Report
Stefan Torlakovic1, Corinne Grandjean-Progin1, Florence Nikles2
1Department of Anesthesia, Cantonal Hospital of Fribourg (HFR), Fribourg, Switzerland, h-fr.ch.
Background:
Awake intubation is often distressing for patients, particularly in cases of difficult airway anatomy.
Case Presentation:
We report a case of successful awake fiber-optic intubation in a 69-year-old male with limited mouth opening due to previous ENT surgeries. Hypnosis was used alongside topical anesthesia and low-dose dexmedetomidine. The patient entered a relaxed state, and the intubation proceeded without pain, discomfort, or complications.
Conclusion:
This case demonstrates the feasibility of using hypnosis as a noninvasive adjunct to improve comfort during awake intubation. Further studies are warranted.
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