ReviewKorean journal of anesthesiology2019
Awake supraglottic airway guided flexible bronchoscopic intubation in patients with anticipated difficult airways: a case series and narrative review.
Review in Korean journal of anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults.Anaesthesia · 2020Guideline
- Supraglottic airway devices in awake tracheal intubation: a viable alternative to fiberoptic and video laryngoscopy.BMC anesthesiology · 2025Observational
- Article
- Biopsy and interventional therapy of subglottic lesions with flexible bronchoscope under protection of endotracheal intubation.European journal of medical research · 2025Article
- Difficult Airway Management in Oromaxillofacial Tumor Surgery: Two Case Reports and Review of the Literature.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Anesthetic management of folders with severe kyphosis in ankylosing spondylitis: a single-center retrospective case series study.Frontiers in medicine · 2025Article
- Article
- German guidelines for airway management 2023.Die Anaesthesiologie · 2024Review
- Articulating Video Stylet Compared to Other Techniques for Endotracheal Intubation in Normal Airways: A Simulation Study in Consultants with No Prior Experience.Journal of clinical medicine · 2024Article
- Anesthesia for a Patient with Base of Tongue Mass undergoing Transoral Robotic Surgery: A Case Report.Acta medica Philippina · 2024Article
- Article
- A Case Report of an Unusual Presentation of Epiglottic Cyst Causing Airway Obstruction in an Adult.Cureus · 2023Article
- The changes on anesthetic practice for non-intubated bronchoscopic interventions during Covid-19 pandemic.Journal of the Formosan Medical Association = Taiwan yi zhi · 2022Article
- Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review.Journal of anesthesia · 2020Review
- Difficult Airway Society awake intubation guidelines: supraglottic airway-guided flexible bronchoscopic intubation as an alternative.Korean journal of anesthesiology · 2020Article
- Comparison of glottic visualisation through supraglottic airway device (SAD) using bronchoscope in the ramped versus supine 'sniffing air' position: A pilot feasibility study.Indian journal of anaesthesia · 2020Article
- Supraglottic Airway-Guided Intubation During the COVID-19 Pandemic: A Closed Technique.Anesthesia and analgesia · 2020Article
- Awake supraglottic airway guided intubation: for the patient, by the patient.Korean journal of anesthesiology · 2020Article
- Awake supraglottic airway guided flexible bronchoscopic intubation.Korean journal of anesthesiology · 2020Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Awake intubation is indicated in difficult airways if attempts at securing the airway after induction of general anesthesia may lead to harm due to potential difficulties or failure in those attempts. Conventional awake flexible bronchoscopic intubation is performed via the nasal, or less commonly, oral route. Awake oral flexible bronchoscopic intubation (FBI) via a supraglottic airway device (SAD) is a less common technique; we refer to this as 'supraglottic airway guided' FBI (SAGFBI). We describe ten cases with anticipated difficult airways in which awake SAGFBI was performed. After sedation and adequate airway topicalization, an Ambu AuragainTM SAD was inserted. A flexible bronchoscope, preloaded with a tracheal tube, was then inserted through the SAD. Finally, the tracheal tube was railroaded over the bronchoscope, through the SAD and into the trachea. The bronchoscope and the SAD were carefully removed, whilst keeping the tracheal tube in-situ. The technique was successful and well tolerated by all patients, and associated complications were rare. It also offered the advantages of performing an 'awake test insertion' of the SAD, an 'awake look' at the periglottic region, and an 'awake test ventilation.' In certain patients, awake SAGFBI offers advantages over conventional awake FBI or awake videolaryngoscopy. More research is required to evaluate its success and failure rates, and identify associated complications. Its place in difficult airway algorithms may then be further established.
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