Anesthesia & Clinical Research
Open Access

Abstract

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

Shinji Kurata, Gaku Mishima and 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 intubated.

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