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T Asai
In patients with unstable necks and at risk of pulmonary aspiration, awake fibreoptic intubation is often appropriate. However, stabilization of the neck can make fibreoptic intubation more difficult. I report the use of awake nasal intubation using the Pentax-Aiway Scope (AWS) in three patients with restricted neck movement, in whom awake fibreoptic intubation had failed. Case 1: a 59-yr-old man, at risk of aspiration, required an emergency cervical laminectomy. Awake fibreoptic intubation was attempted while a Halo vest was being applied, but it was impossible to see the glottis, mainly due to pharyngeal and laryngeal oedema...
January 2010: British Journal of Anaesthesia
A F Flemming, A J Fairfax, A G Arnold, D J Lane
In a patient with widespread endobronchial amyloidosis, the amyloid deposits resulted in severe disability over a ten-year period from obstruction of large airways and from recurrent chest infections and atelectasis. Repeated excision of small quantities of amyloid material during rigid bronchoscopy under general anaesthetic have resulted in symptomatic relief and measurable improvement of aiways obstruction.
April 1980: British Journal of Diseases of the Chest
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