For a similar and original take on the subject, see also the great article written by Dr Jamie Peyton in the January 2022 edition of the Difficult Airway Society’s E-Zine.
Selected references can be accessed online via the links here. If you are unable to access a reference, or wish to download a larger set for furhter reading, please click the link for the archive at the bottom.
- Jarvi K, Hillermann C, Danha R, Mendonca C. Awake intubation with the Pentax Airway Scope. Anaesthesia. 2011;66(4):314.
- Rosenstock CV, Thogersen B, Afshari A, Christensen AL, Eriksen C, Gatke MR. Awake fiberoptic or awake video laryngoscopic tracheal intubation in patients with anticipated difficult airway management: a randomized clinical trial. Anesthesiology. 2012;116(6):1210-6.
- Kramer A, Muller D, Pfortner R, Mohr C, Groeben H. Fibreoptic vs videolaryngoscopic (C-MAC((R)) D-BLADE) nasal awake intubation under local anaesthesia. Anaesthesia. 2015;70(4):400-6.
- Lohse JA, Piepho T, Noppens RR. Awake video laryngoscopy – A revolution in the management of the anticipated difficult airway? Trends in Anaesthesia and Critical Care. 2016;6:37-42.
- Markova L, Stopar-Pintaric T, Luzar T, Benedik J, Hodzovic I. A feasibility study of awake videolaryngoscope-assisted intubation in patients with periglottic tumour using the channelled King Vision((R)) videolaryngoscope. Anaesthesia. 2017;72(4):512-8.
- Fitzgerald E, Hodzovic I, Smith AF. ‘From darkness into light’: time to make awake intubation with videolaryngoscopy the primary technique for an anticipated difficult airway? Anaesthesia. 2015;70(4):387-92.
- Mendonca C, Mesbah A, Velayudhan A, Danha R. A randomised clinical trial comparing the flexible fibrescope and the Pentax Airway Scope (AWS)((R)) for awake oral tracheal intubation. Anaesthesia. 2016;71(8):908-14.
- Moosajee V, Douglas S, Hodzovi I. Awake videolaryngoscopy. Australasian Anaesthesia 2017 pp. 3-11.
- Alhomary M, Ramadan E, Curran E, Walsh SR. Videolaryngoscopy vs. fibreoptic bronchoscopy for awake tracheal intubation: a systematic review and meta-analysis. Anaesthesia. 2018;73(9):1151-61.
- Desai N, Ratnayake G, Onwochei DN, El-Boghdadly K, Ahmad I. Airway devices for awake tracheal intubation in adults: a systematic review and network meta-analysis. Br J Anaesth. 2021;127(4):636-47.
- Wilson WM, Smith AF. The emerging role of awake videolaryngoscopy in airway management. Anaesthesia. 2018;73(9):1058-61.
- Jiang J, Ma DX, Li B, Wu AS, Xue FS. Videolaryngoscopy versus fiberoptic bronchoscope for awake intubation – a systematic review and meta-analysis of randomized controlled trials. Ther Clin Risk Manag. 2018;14:1955-63.
- Moore A, Schricker T. Awake videolaryngoscopy versus fiberoptic bronchoscopy. Curr Opin Anaesthesiol. 2019;32(6):764-8.
- Ahmad I, El-Boghdadly K, Bhagrath R, Hodzovic I, McNarry AF, Mir F, et al. Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults. Anaesthesia. 2020;75(4):509-28.
- Leslie D, Stacey M. Awake intubation. Continuing Education in Anaesthesia Critical Care & Pain. 2015;15(2):64-7.
- Aziz M. Advances in Laryngoscopy. F1000Res. 2015;4:F1000 Faculty Rev-1410. Published 2015 Dec 8. doi:10.12688/f1000research.7045.1
- Ahmad I, Bailey CR. Time to abandon awake fibreoptic intubation? Anaesthesia 2016;71:3-16. DOI: 10.1111/anae.13333
- Nabecker S, Ottenhausen T, Theiler L, Braun M, Greif R, Riva T. Prospective observational study evaluating the C-MAC Video Stylet for awake tracheal intubation: a single-center study. Minerva Anestesiol. 2021;87(8):873-879. doi:10.23736/S0375-9393.21.15302-7
If you’re struggling access the articles above or would like an EndNote library and further references, you can access a share folder here.
A brief video describing a challenging case managed with awake VL using the CMAC Video Stylet is shown below. (Video prepared for the 2021 Virtual Guy’s Airway Management Course)
I was honoured to be invited back on the Critical Care Scenarios (@icuscenarios) podcast, to chat this time about airway management in COVID-19, but also talking about how it’s helping to focus improving our emergency airway management in general. Check it out at this link:
This year’s International Airway Management Meeting was fully online, thanks for COVID, but SARS-CoV-2 certainly gave us lots to talk about. The meeting, held over 21-22 May, brought together 44 international experts for online presentations and very robust discussions, and had nearly 50 000 views online. The good news (if you missed it) is that the content is still fully available as an online recording (over 10 hours worth!), which you can access here:
The full program is below. You can watch the recording on my talk on “COVID Airway Management: Principles, Projects, Pet Ideas and Proper Evidence” below or by following this link.
Yip, it’s on all of our minds right now. Want a one-stop shop for airway management (and other anaesthesia) resources for COVID-19? It’s here on OpenAirway: OpenAirway.org/covid-19-airway
A couple of examples of great work coming from the webs:
Get more and download the PDFs from the link: OpenAirway.org/covid-19-airway
Have you shared your preferences, practice and experience with managing the airway in patients with unstable cervical spine injuries? We have representation from around the world but would still like to expand our sample! If your country is not dark blue or green in the map above, please add your voice:
New content – we’ve added a static page to OpenAirway to build up a resource of #FOAM content on airway ultrasound. There is quite a lot out there on the great big interwebs, but this should form a kernel of good stuff to get you up to speed, or learn a few nuggets. Please comment on the page if you have additional sources or ideas to suggest. You can find the Airway Ultrasound page here.
In the process of collating material for the Airway Ultrasound resources here on OpenAirway, the great free e-learning courses on usabcd have come to light. After registering with the service, you can access the following freecourses (and even take the tests, generating a course certificate):
You’ll need to register, add the courses to your cart and then check out
(total fee 0.00) to gain access to the material. There are plenty of other modules, including FATE, FAST, lung ultrasound and TEE which can be accessed for a fee. Check it out!
Here’s a brief clinical example of dual endoscopy using the CMAC VL and VS (video stylet). This case was performed for teaching purposes, rather than a difficult airway. Note the endoscopic view appearing as a picture-in-picture is from the editing; the images are on two separate displays. (It starts a little late due to the author forgetting to press the record button on the device).