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Evaluation

Scientific Assembly

Small Group Clinic

Session: Small Group Clinic IV

The Awake Fiberoptic Intubation

Wednesday, April 9, 2025
10:15am – 11:00am ET
Location: Merrick I - Lobby Level
CE: 0.75 CME Credit
Critical Care Sign-Up Required Small Group Clinic

    Workshop Lead Faculty(s)

  • Gregory Wu, MD, FAAEM FACEP (he/him/his)

    Associate Professor of Emergency Medicine
    Albany Medical Center
    Albany, New York

    Disclosure(s): No financial relationships to disclose

    • Workshop Facilitator(s)

  • Kene Chukwuanu, MD, FAAEM

    Associate Residency Program Director
    Saint Louis University School of Medicine
    St. Louis, Missouri

    Disclosure(s): Exo, Inc.: Consultant/Advisory Board (Ongoing)

  • Mitchell Zekhtser, DO (he/him/his)

    Volunteer Clinical Assistant Professor of Emergency Medicine / Critical Care Medicine Attending
    University of California, San Francisco / Sutter Health
    San Francisco, California

    Disclosure(s): No financial relationships to disclose

  • YS

    Yuvraj Singh, DO

    Attending Intensivist
    AdventHealth Tampa
    Tampa, Florida

    Disclosure(s): No financial relationships to disclose

  • Sean P. Geary, MD, FAAEM, FACEP (he/him/his)

    Associate Professor of Emergency Medicine
    Albany Medical Center
    Albany, New York

    Disclosure(s): No financial relationships to disclose

Disclosure(s):
Gregory Wu, MD, FAAEM FACEP: No financial relationships to disclose
Yuvraj Singh, DO: No financial relationships to disclose
Elias E. Wan, FAAEM: No financial relationships to disclose
June Gordon, MD: No financial relationships to disclose
Mitchell Zekhtser, DO: No financial relationships to disclose
Fiberoptic intubation is a frequently discussed procedure, but is infrequently performed and even more rarely practiced in controlled situations. We will provide a hands-on experience on how to properly select patients for a fiberoptic approach, preparing the patient, and how to intubate. We will also discuss how to troubleshoot and alternative techniques such as nasotracheal approaches and hybrid techniques. These will be conducted on high-fidelity manikins to provide a low-stress environment to gain experience with this procedure.

Learning Objectives:

  • Perform an assessment of when an awake oral or nasal fiberoptic intubation will be accomplishable, and when it will not
  • Perform topicalization, sedation, fiberoptic inspection and intubation of the spontaneously breathing patient
  • Troubleshoot when fiberoptic intubation is unsuccessful due to level of sedation, patient anatomy, or the technique