Evidence map›Paper›PMID 42534391›Full record

ArticleCase reports in anesthesiology2026

Fiberoptic Reintubation in an Unanticipated Difficult Airway: A Case Report.

Alireza Nikzad-Jamnani, Seyyed Alireza Seyyed Siamdoust, Seyyed Javad Boskabadi, Sima Ramezaninejad, Saeed Kargar-Soleimanabad

Abstract read
In one paragraph

Article in Case reports in anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alireza Nikzad-JamnaniDepartment of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran, mazums.ac.ir.ORCID https://orcid.org/0000-0001-9895-2509
Seyyed Alireza Seyyed SiamdoustDepartment of Anesthesiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0000-0002-4739-0101
Seyyed Javad BoskabadiDepartment of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran, mazums.ac.ir.ORCID https://orcid.org/0000-0001-9186-5445
Sima RamezaninejadDepartment of Clinical Pharmacy, Faculty of Pharmacy, Babol University of Medical Sciences, Babol, Iran, mubabol.ac.ir.ORCID https://orcid.org/0000-0002-5955-4732
Saeed Kargar-SoleimanabadStudent Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran, mazums.ac.ir.ORCID https://orcid.org/0000-0001-5602-3816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although direct laryngoscopy may seem the most reasonable modality for previously intubated patients, in the setting of anatomical distortion secondary to reconstructive neck surgery, flexible fiberpostoptic laryngoscopy (FFL) should be considered for patients who may require postoperative emergency reintubation. Case Presentation: A 51-year-old woman with squamous cell carcinoma of the submental triangle and larynx was referred for free flap surgery. For postoperative care, she was admitted to the ICU. After 18 h, the patient developed respiratory distress and confusion. We decided to perform awake tracheal intubation for her. After receiving a sufficient dose of fentanyl and dexmedetomidine, intubation with direct laryngoscopy was attempted, but it failed. Fortunately, the patient was intubated using an FFL available in the ICU. After 48 h, she was extubated and transferred to the surgery ward. Conclusion: Our experience suggests that, for patients who are undergoing free flap surgery in regions that jeopardize the airway, if intubation is needed (especially shortly after surgery), difficult airway management devices such as FFL should be readily accessible alongside an expert anesthesiologist.

Indexed as

difficult airwaydifficult intubationflexible fiberoptic laryngoscopyreconstructive neck surgery

Identifiers

PMID42534391
PMCPMC13420344

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.