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Secrets to a successful awake fibreoptic intubation (AFOI) on a patient with odentogenous abscess
  1. Ming Kai Teah1,
  2. Esther Huey Ring Liew2,
  3. Melvin Teck Fui Wong2 and
  4. Tat Boon Yeap3
  1. 1Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia
  3. 3Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}


Awake fibreoptic intubation (AFOI) is an established modality in patients with anticipated difficulty with tracheal intubation. This case demonstrates that with careful and meticulous preparations, AFOI can lead to improved airway management and excellent patient outcomes. A 38-year-old woman presented with severe trismus secondary to odentogenous abscess was identified preoperatively as having a potential difficult airway. AFOI was performed successfully using combined Spray-As-You-Go and dexmedetomidine technique.

  • anaesthesia
  • dentistry and oral medicine

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  • Contributors MKT and EHRL were involved in the case management and writing of this manuscript. MTFW was involved in the active management of this patient in the operating theatre. TBY was involved in the writing, editing and submission for this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.