title: [Awake intubation using Pentax Airway Scope as an alternative to awake fiberoptic intubation in management of anticipated difficult tracheal intubation in major burn patients].
abstract: Intubating patients with facial burn is difficult to most anesthesiologists. Awake flexible fiberoptic intubation is the gold standard for management of anticipated difficult tracheal intubation. However, serious facial burn and dysmorphic syndrome can make fiberoptic intubation more difficult or impossible. We report the use of awake oral intubation using the Pentax-Airway Scope (AWS) in two major burn patients with facial injury, in whom awake fiberoptic intubation was impossible. As shown in morbidly obese patient and in patients with unstable necks, AWS could be useful to facilitate tracheal intubation in awake, facial burn patients presenting with a potentially difficult airway. Awake AWS intubation seems as a potential alternative to awake fiberoptic intubation.
authors: Centre de traitement des brûlés, hôpital Édouard-Herriot, hospices civils de Lyon, Lyon cedex 03, France. laure.fayolle-pivot@chu-lyon.fr
authors: L
authors: L
authors: Fayolle-Pivot
authors: C
authors: C
authors: Magnin
authors: S
authors: S
authors: Tissot
authors: M
authors: M
authors: Bertin-Maghit
authors: B
authors: B
authors: Allaouchiche
mesh_terms: D000368:Aged; D002056:Burns / Q000150:complications / Q000628:therapy*; D016292:Procedural Sedation; D004062:DiGeorge Syndrome / Q000150:complications; D004487:Edema / Q000209:etiology; D004867:Equipment Design; D005151:Facial Injuries / Q000628:therapy*; D005260:Female; D005931:Glottis; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D020704:Laryngoscopes; D008260:Macroglossia / Q000209:etiology; D008334:Mandible / Q000002:abnormalities; D008875:Middle Aged; D009765:Obesity / Q000150:complications