A 26-year-old female, weighing 124 kg, is scheduled for an emergency appendectomy. She has a class 3 airway but tells you that she has a previous history of traumatic and difficult endotracheal intubation. She is otherwise healthy and takes no medication. She refuses a regional block as she has back problems.
You decide on fiberoptic intubation, but you are fully aware that topical anesthesia and sedation must be kept to a minimum to maintain the protective laryngeal reflexes and decrease the likelihood of gastric aspiration. Based on anatomical and physiological observations, what approach would you adopt for this case? Source : Clinical Anesthesia Near Misses and Lessons Learned ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability,…
