Awake Tracheal Dilatation

Material here prepared for the 4th Vienna-ESTS Laryngotracheal Surgery course in March 2023, and may be updated in the future as new material/ evidence is added.

A video demonstrating an awake dilatation case can be viewed below:

Poster references, linked for your convenience:


1.           Chang AC, Pickens A, Orringer MB. Awake tracheobronchial dilation without the use of rigid bronchoscopy. Ann Thorac Surg. 2006;82(6):e43-5.

2.           Hofmeyr R, McGuire J, Marwick P, Park K, Proxenos M, Lehmann M, et al. Assessment of continuous ventilation during tracheal dilatation using a novel, non-occlusive balloon in an ovine model. Southern African Journal of Anaesthesia and Analgesia. 2020:245-9.

3.           Hofmeyr R, McGuire J, Park K, Proxenos M, Peer S, Lehmann M, et al. Prospective observational trial of a non-occlusive dilatation balloon in the management of tracheal stenosis. Journal of Cardiothoracic and Vascular Anesthesia. 2022.

4.           Hofmeyr R, Lubbe D. How we do it: endoscopic tracheal dilatation technique using a supraglottic airway device and non-occlusive balloon. J Laryngol Otol. 2023;137(2):219-21.

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