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Combining Videolaryngoscopy With Fiber-Optic Orotracheal Intubation for Inclusion in the Nonemergency Pathway of the Difficult Airway Algorithm

Riegel, Ann-Kathrin MD*; Winterhalter, Michael MD

doi: 10.1213/XAA.0000000000000849

As technology progresses, our clinical treatment options rise steadily. We are comfortable now with the handling of ready-to-use high-quality videolaryngoscopes and fiber optics, and there is increasing knowledge and practice that the combination of these 2 techniques has a high “rescue rate” in situations when fiber-optic intubation or videolaryngoscopic intubation fails. Therefore, we would recommend to specifically include this technique in the “difficult airway algorithm—nonemergency pathway,” so it comes routinely into mind when faced with a “can ventilate, but cannot intubate” situation that warrants intubation for the surgical operation.

From the *Department of Anesthesia, University Clinic Hamburg Eppendorf, Hamburg, Germany

Department of Anesthesia, Klinikum Bremen-Mitte, Bremen Hospital group, Bremen, Germany.

Accepted for publication May 25, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Ann-Kathrin Riegel, MD, Department of Anesthesia, University Clinic Hamburg Eppendorf, Martinistr 52, Hamburg, Germany. Address e-mail to

Copyright © 2018 International Anesthesia Research Society
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