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Triad of safety, efficacy and patient comfort: videolaryngoscopic awake nasotracheal intubation using a lignocaine and propofol based technique


Journal of Anesthesia & Critical Care: Open Access
Shah S B, Vishnoi G, Chawla R, Bhardwaj M

Abstract

Currently there is a paucity of guidelines for anticipated difficult airways but awake intubation holds a pivotal position in all of these. Although awake fiberoptic intubation has long been considered the gold standard for difficult airway, awake videolaryngoscopic intubation is a promising alternative which is safe and effective, with myriad benefits like shorter duration of intubation, lesser technical skills required, shorter learning curve and better visualization when blood, copious secretions, tenacious sputum or debris obscures the glottic view.

Keywords

Awake intubation, C-Mac D-blade, lignocaine, propofol, videolaryngoscope

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