Awake intubation - Revision history

Danbot: Strip excess bold

2026-03-22T09:27:59Z

Strip excess bold

← Revisión anterior		Revisión del 09:27 22 mar 2026
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	It is important to maintain spontaneous breathing, provide anxiolysis, ensure adequate comfort, and minimize secretions		It is important to maintain spontaneous breathing, provide anxiolysis, ensure adequate comfort, and minimize secretions
	*Antisialagogue		*Antisialagogue
	** ~~'''~~[[Glycopyrrolate]]~~'''~~ - typically preferred over atropine, provide 0.2 mg IV (onset 1-2 minutes)		** [[Glycopyrrolate]] - typically preferred over atropine, provide 0.2 mg IV (onset 1-2 minutes)
	* Local anesthetics - though may require time, adequate local anesthesia significantly increases success rate and patient compliance		* Local anesthetics - though may require time, adequate local anesthesia significantly increases success rate and patient compliance
	** ~~'''~~[[Lidocaine]]~~'''~~ - various formulations, such as topical, atomized, or nebulized to allow for numerous delivery techniques		** [[Lidocaine]] - various formulations, such as topical, atomized, or nebulized to allow for numerous delivery techniques
	** '''[[Cocaine]]''' - potent topical anesthetic and vasoconstrictor, useful in blind or awake nasal intubations		** '''[[Cocaine]]''' - potent topical anesthetic and vasoconstrictor, useful in blind or awake nasal intubations
	** ~~'''~~[[Cetacaine]]~~'''~~ - topical combination anesthetic, useful to provide adjunct anesthesia to the mucosal surfaces of nares or posterior pharynx		** [[Cetacaine]] - topical combination anesthetic, useful to provide adjunct anesthesia to the mucosal surfaces of nares or posterior pharynx
	* Sedation/anxiolysis - must be mild to avoid respiratory depression or apnea. Sedation is frequently required for patient tolerance		* Sedation/anxiolysis - must be mild to avoid respiratory depression or apnea. Sedation is frequently required for patient tolerance
	** ~~'''~~[[Midazolam]]~~'''~~ - used in small boluses, but has no analgesic properties (may use fentanyl in addition)		** [[Midazolam]] - used in small boluses, but has no analgesic properties (may use fentanyl in addition)
	** ~~'''~~[[Propofol]]~~'''~~ - challenging to balance sedation		** [[Propofol]] - challenging to balance sedation
	** ~~'''~~[[Dexmedetomidine]]~~'''~~		** [[Dexmedetomidine]]
	** ~~'''~~[[Remifentanil]]~~'''~~ - rapid offset of action		** [[Remifentanil]] - rapid offset of action
	** ~~'''~~[[Ketamine]]~~'''~~ - titrate to effect with 10-20mg doses		** [[Ketamine]] - titrate to effect with 10-20mg doses
	*Consider [[ondansetron]] 4mg IV to blunt gag reflex<ref>https://www.sid.ir/en/journal/ViewPaper.aspx?id=225600</ref>		*Consider [[ondansetron]] 4mg IV to blunt gag reflex<ref>https://www.sid.ir/en/journal/ViewPaper.aspx?id=225600</ref>

Rossdonaldson1: /* External Links */

2024-04-24T20:36:05Z

External Links

← Revisión anterior		Revisión del 20:36 24 abr 2024
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	*[https://emcrit.org/emcrit/awakeintubation/ EMCrit - Awake Intubation]		*[https://emcrit.org/emcrit/awakeintubation/ EMCrit - Awake Intubation]
	*[https://emottawablog.com/2019/10/wake-up-awake-intubation-in-the-ed/ EM Ottawa - Wake up! Awake Intubation in the ED]		*[https://emottawablog.com/2019/10/wake-up-awake-intubation-in-the-ed/ EM Ottawa - Wake up! Awake Intubation in the ED]

	~~===Videos===~~
	~~{{#widget:YouTube\|id=F_YV-NLrrm4}}~~

	==References==		==References==

Rossdonaldson1: /* Example of Technique */

2021-11-17T19:45:36Z

Example of Technique

← Revisión anterior		Revisión del 19:45 17 nov 2021
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	==Example of Technique==		==Example of Technique==
	* Preoxygenate the patient +/- ~~Glucopyrrolate.~~		* Preoxygenate the patient +/- [[glycopyrrolate]]
	* Position the patient		* Position the patient
	* Switch oxygenation from face mask to nasal cannula		* Switch oxygenation from face mask to nasal cannula

Dcpinzonc: /* Example of Technique */

2021-11-15T17:49:34Z

Example of Technique

← Revisión anterior		Revisión del 17:49 15 nov 2021
Línea 29:		Línea 29:

	==Example of Technique==		==Example of Technique==
	* Preoxygenate the patient		* Preoxygenate the patient +/- Glucopyrrolate.
	* Position the patient		* Position the patient
	* Switch oxygenation from face mask to nasal cannula		* Switch oxygenation from face mask to nasal cannula

Blsimpso at 12:18, 31 August 2021

2021-08-31T12:18:16Z

← Revisión anterior		Revisión del 12:18 31 ago 2021
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	{{Related Difficult Airway Pages}}		{{Related Difficult Airway Pages}}
	{{Mechanical ventilation pages}}		{{Mechanical ventilation pages}}

			==External Links==
			*[https://emcrit.org/emcrit/awakeintubation/ EMCrit - Awake Intubation]
			*[https://emottawablog.com/2019/10/wake-up-awake-intubation-in-the-ed/ EM Ottawa - Wake up! Awake Intubation in the ED]

			===Videos===
			{{#widget:YouTube\|id=F_YV-NLrrm4}}

	==References==		==References==

Elcatracho: /* May use any of the following techniques: */

2021-02-18T06:20:24Z

May use any of the following techniques:

← Revisión anterior		Revisión del 06:20 18 feb 2021
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	==May use any of the following techniques:==		==May use any of the following techniques:==
	* Fiberoptics (most common)		* Fiberoptics (most common)
	* ~~Direct~~ [[~~Laryngoscopy~~]]		* [[Direct laryngoscopy]]
	* Video Laryngoscopy		* [[Video Laryngoscopy]]
	* Blind [[Nasal intubation]]		* Blind [[Nasal intubation]]
	* [[Tracheostomy]]		* [[Tracheostomy]]

Elcatracho: /* Indications */

2020-12-10T16:14:08Z

Indications

← Revisión anterior		Revisión del 16:14 10 dic 2020
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	==Indications==		==Indications==
	When masked ventilation or intubation is suspected to be difficult, such as those with complicated anatomy or cannot tolerate supine positioning. Patient must be compliant and ideally should have a low risk of vomiting.		When masked ventilation or intubation is suspected to be [[The difficult airway\|difficult]], such as those with complicated anatomy, [[angioedema]] or cannot tolerate supine positioning. Patient must be compliant and ideally should have a low risk of vomiting.

	==Contraindications==		==Contraindications==

Elcatracho: /* Contraindications */

2020-11-25T17:31:20Z

Contraindications

← Revisión anterior		Revisión del 17:31 25 nov 2020
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	==Contraindications==		==Contraindications==
	Patient refusal or ~~noncompliance~~		Patient refusal or inability to cooperate

	==Drugs==		==Drugs==

Elcatracho: /* Drugs */

2020-11-21T21:58:35Z

Drugs

← Revisión anterior		Revisión del 21:58 21 nov 2020
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	** '''[[Dexmedetomidine]]'''		** '''[[Dexmedetomidine]]'''
	** '''[[Remifentanil]]''' - rapid offset of action		** '''[[Remifentanil]]''' - rapid offset of action
	** '''[[Ketamine]]'''		** '''[[Ketamine]]''' - titrate to effect with 10-20mg doses
	*Consider [[ondansetron]] 4mg IV to blunt gag reflex<ref>https://www.sid.ir/en/journal/ViewPaper.aspx?id=225600</ref>		*Consider [[ondansetron]] 4mg IV to blunt gag reflex<ref>https://www.sid.ir/en/journal/ViewPaper.aspx?id=225600</ref>

ClaireLewis at 13:38, 7 October 2019

2019-10-07T13:38:17Z

← Revisión anterior		Revisión del 13:38 7 oct 2019
Línea 1:		Línea 1:
	==May use any of the following techniques:==		==May use any of the following techniques:==
	* Fiberoptics (most common)		* Fiberoptics (most common)
	* Direct Laryngoscopy		* Direct [[Laryngoscopy]]
	* Video Laryngoscopy		* Video Laryngoscopy
	* Blind [[Nasal intubation]]		* Blind [[Nasal intubation]]
	* Tracheostomy		* [[Tracheostomy]]

	==Indications==		==Indications==
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	==Contraindications==		==Contraindications==
	Patient ~~compliance~~ or ~~refusal~~		Patient refusal or noncompliance

	==Drugs==		==Drugs==
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	[[Category:Critical Care]]		[[Category:Critical Care]]
	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Pulmonary]]