Work

When Our “Best” Isn’t Good Enough: Asleep Paralyzed Fiberoptic Intubation After a Failed Awake Fiberoptic at an Outside Hospital

Year: 2025

Type: article

Abstract: A 72-year-old, 127-cm, 53-kg female presented to our hospital after her surgery was canceled at an outside hospital due to multiple failed awake fiberoptic intubation attempts. She required a total abdominal hysterectomy, bilateral salpingectomy, and pelvic lymph node dissection for endometrial cancer. Given the prior failed awake attempts, we performed an asleep, paralyzed, combined video laryngoscope and fiberoptic oral intubation. The decision-making, actions, and risk mitigation provide an interesting case for discussion.

Source: Cureus

DOI: 10.7759/cureus.95439

Authors: James Chen, Benjamin D Brakke, Timon J Higgins, Bradly J Narr

Institution: Mayo Clinic

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415554745