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Sevoflurane for difficult tracheal intubation

S M Mostafa¹, A M Atherton

¹Department of Anaesthesia, Royal Liverpool University Hospital.

British Journal of Anaesthesia

|December 9, 1997

Summary

Rapid inhalation of sevoflurane provided smooth anesthesia for patients with expected difficult tracheal intubation when awake fiberoptic intubation was not feasible. This technique facilitated subsequent tracheal intubation for head and neck surgery.

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Area of Science:

Anesthesiology
Airway Management
Head and Neck Surgery

Background:

Patients with anticipated difficult tracheal intubation pose challenges for airway management.
Awake fiberoptic intubation is a standard technique but may not always be feasible.
Head and neck surgeries often require secure airways.

Observation:

Three patients with expected difficult tracheal intubation were encountered.
Awake fiberoptic intubation was deemed not feasible in these cases.
These patients presented for head and neck surgical procedures.

Findings:

Rapid induction of anesthesia was achieved using sevoflurane inhalation.
The induction was smooth and well-tolerated.
Subsequent tracheal intubation, either fiberoptic or conventional, was successfully performed.

Implications:

Inhalation sevoflurane anesthesia is a viable alternative for rapid, smooth induction in patients with anticipated difficult airways.
This approach facilitates tracheal intubation when awake fiberoptic intubation is not possible.
It offers a safe and effective anesthetic strategy for head and neck surgery in challenging airway cases.

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