Difficult intubation in critical patient: how can we manage it? a case report

Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 8 3 2024 07 29 Difficult intubation in critical patient: how can we manage it? a case report e27 e27 Gaetano Ottoveggio Anesthesia, Intensive Care, and Emergency Unit, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Italy. Barbara Verro Otorhinolaryngology Unit, Department of Biomedicine, Neuroscience and Advanced Diagnostic Sciences (BIND), University of Palermo, Palermo, Italy. Dario Nicosia Anesthesia, Intensive Care, and Emergency Unit, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Italy. Carmelo Saraniti Otorhinolaryngology Unit, Department of Biomedicine, Neuroscience and Advanced Diagnostic Sciences (BIND), University of Palermo, Palermo, Italy. 2024 06 22 2024 07 06 Difficult airway management represents a challenge. Guidelines recommend choosing the airway technique based on physicians’ skills, equipment, available devices and context. Supraglottic airway devices are recommended in cases of unanticipated difficult intubation after endotracheal intubation failure. They are used to ensure satisfactory oxygenation and occasionally to guide the endotracheal tube. Fiberscope is useful to ensure vision of larynx and trachea in these scenarios. This is a unique case of emergency and difficult airway management using this combined approach. In our experience, oxygenation with laryngeal mask and intubation through the mask under endoscopic vision is valid combination technique. https://fem.tums.ac.ir/index.php/fem/article/view/1436 https://fem.tums.ac.ir/index.php/fem/article/download/1436/491