Failed fibreoptic intubation: 70° rigid nasendoscope and Frova introducer to the rescue

Indian J Anaesth. 2016 Jul;60(7):506-8. doi: 10.4103/0019-5049.186028.

Abstract

Endotracheal intubation was successfully accomplished with 70° rigid nasendoscope under video guidance in two patients in whom repeated attempts to secure airway with flexible fibreoptic bronchoscope were unsuccessful. Both patients had compromised airway (laryngeal papillomatosis and a huge thyroid swelling) and were uncooperative. Frova intubating introducer was used along with 70° rigid nasendoscope to accomplish tracheal intubation under video guidance.

Keywords: Airway management; endoscope; goitre; laryngeal papillomatosis; nasendoscope.