The Role of Awake Intubation



In 1993 the American Society of Anesthesiologists (ASA) Task Force on Management of the Difficult Airway published its first set of guidelines for management of the difficult airway [1]. These guidelines brought consideration of awake intubation (intubation of the trachea under topical anesthesia with or without sedation) to the forefront of airway management. In the updated guidelines published in 2003, one of the first recommendations is that the patient be evaluated to determine if the patient can safely be rendered unconscious and apneic prior to securing the airway or if spontaneous ventilation should be preserved [2]. The principles discussed herein generally apply to a wide variety of clinical settings apart from anesthesia, requiring management of a suspected or known difficult airway.


Obstructive Sleep Apnea Local Anesthetic Vocal Cord Airway Management Hyoid Bone 
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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical CareUniversity of Chicago Medical CenterChicagoUSA

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