Procedure Synopses

Question 1

Awake Fiberoptic Intubation

Answer 1

1. In order to successfully perform an AFOI, I need to block the glossopharyngeal nerve, superior laryngeal nerve, and recurrant laryngeal nerve.
2. Prior to starting, I would have the difficult airway cart in the room and a backup plan in case of failed attempts.
3. After bringing the patient to the OR, attaching monitors, and starting high-flow nasal canula, I would spray 10cc of 4% lidocaine into the oropharynx with an EZ-atomizer. Next I would apply 4% topical lidocaine to the posterior tongue and tonsillar pillars with a tongue depressor. I would then spray 5cc of 4% just past the vocal cords with a curved atomizer.
4. Next I would test the adequacy of block, sedate with dexmedetomidine and perform the intubatino with the patient upright and with a fiberoptic scope.

Question 2

Emergent Surgical and Needle Cricothyroidotomy

Answer 2

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