Awake bronchoscopic intubation through an air-Q? with the application of BIPAP

摘要

Awake tracheal intubation is recommended for patients with a known or suspected difficult airway. A supraglottic airway device has been used as a conduit for awake intubation with a flexible bronchoscope. We describe an awake bronchoscope-guided tracheal intubation through an air-Q intubating laryngeal airway (air-Q, Mercury Medical, Clearwater, FL, USA) with continuous application of bilevel positive airway pressure (BIPAP) in a patient with a difficult airway and respiratory failure. Written consent was obtained from the patient for the publication of this article.