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Journal of anesthesia · Jun 2020
Awake fiberoptic intubation with an epidural catheter in a morbidly obese patient.
- Yutaro Suzuki, Tamie Takenami, Saki Fujino, Ayano Nakazawa, and Hirotsugu Okamoto.
- Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0375, Japan.
- J Anesth. 2020 Jun 1; 34 (3): 468-471.
AbstractWe report successful awake intubation in a morbidly obese patient (body mass index of 61.2) using an epidural catheter inserted through the external forceps channel of the fiberscope for delivery of local anesthetic. Direct application of local anesthetic to the pharyngolaryngeal area and proximal tracheal, through the use of a relatively firm epidural catheter. We conclude that awake intubation can be achieved by this method which spares the subsequent use of any sedative drugs.
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