Anesthesia & Clinical Research

Anesthesia & Clinical Research
Open Access

ISSN: 2155-6148



Lateral Fiberoptic Intubation for a Morbidly Obese Patient with Undergoing Maxillofacial Surgery

Shinji Kurata, Gaku Mishima, Takao Ayuse

It has been recognized that the fiberoptic bronchoscope intubation is appropriate solution to manage the difficult
airway. This maneuver might be usually applied in supine position during awake or during sedated condition with
spontaneous breathing under cooperation of patients. However, there are some cases that patients cannot be
positioned because of anatomical problem, such as morbidly obesity and/or tumor or edema in soft tissue of
pharyngeal. It has been suggested that fiberoptic bronchoscope intubation in lateral position might be alternative
method to mimic respiratory complication. We have experienced the case of fiberoptic bronchoscope intubation in
lateral position. We attempted fiberoptic intubation for severe obesity patient under sedation in the left lateral
position, using a flexible fiberoptic bronchoscope in lateral position; the tracheal tube was successfully nasally

Published Date: 2020-07-31; Received Date: 2020-07-21