Local anesthesia in airway management allows orotracheal or nasotracheal
intubation in awake patients with anticipated or known difficult airway predictors.
Until a few years ago, the device that was used for awake intubation was the
Fiberscope (FBO) but currently, in addition, you can use any airway device, as long as
you effectively anesthetize the structures through which the device is inserted [1]. This
requires adequate local anesthesia during the necessary time, waiting long enough for
the local anesthetic to work in order to achieve quick and easy intubation with minimal
or nil sedation, although other working groups use sedation during this procedure [2].
Keywords: Awake intubation, Airway management, Airway anesthesia, Airway
topicalization, Airway nerve blocks, Awake fibreoptic bronchoscopy, Awake
videolaryngoscopy, Difficult airway, Dexmedetomidine, Ketamine.
