intubation awake fiberoptic intubation · 2020. 6. 2. · awake fiberoptic intubation alma juels,...

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Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver Health and Hospital Department of Anesthesiolgy Indications for Awake Fiberoptic Intubation Awake Fiberoptic NASAL or ORAL Nasal ORAL with Berman, Ovassapian or Williams airway Juels, Alma, MD Awake Fiberoptic Intubation

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Page 1: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Awake Fiberoptic Intubation

Alma Juels, M.D.Assistant Professor University of Colorado Hospital Attending Physician Denver Health and Hospital

Department of Anesthesiolgy

Indications for Awake Fiberoptic Intubation

Awake Fiberoptic NASAL or ORAL

Nasal

ORAL with Berman, Ovassapian or Williams airway

Juels, Alma, MD Awake Fiberoptic Intubation

Page 2: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Sedation Medications

Precedex Ketamine

Innervation of the Airway Airway Reflexes

Juels, Alma, MD Awake Fiberoptic Intubation

Page 3: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Oropharynx Glossopharyngeal nerve block

Posterior pharynx

Below vocal cords

Juels, Alma, MD Awake Fiberoptic Intubation

Page 4: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Ways to numb airway Concerns numbing airway

Juels, Alma, MD Awake Fiberoptic Intubation

Page 5: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Positioning

Using Fiberoptic

Juels, Alma, MD Awake Fiberoptic Intubation

Page 6: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Advancing ETT

Endotrol ETT

Juels, Alma, MD Awake Fiberoptic Intubation

Page 7: Intubation Awake Fiberoptic Intubation · 2020. 6. 2. · Awake Fiberoptic Intubation Alma Juels, M.D. Assistant Professor University of Colorado Hospital Attending Physician Denver

Juels, Alma, MD Awake Fiberoptic Intubation