Oral and MaxillofacialSurgery, Northwick Park Hospital, London,HA1 3UJ, United Kingdom.

Direct laryngoscopy is the usual method of accessing the simple airway.There are also different methods to aid in visualisation if this is not possible, including video laryngoscopy. These necessitate some mouth opening. The clinician should use awake fiberoptic nasal intubation to secure the airway in cases of almost full trismus.

airway obstruction, fiberoptic, and Ludwig's angina.

When it is deemed dangerous to put a patient to sleep before being certain that their airway can be secured, typically when severe laryngoscopy and difficult bag-mask ventilation are anticipated, an awake approach is employed. On a 19-year-old guy with Ludwig's Angina and a 10 mm mouth opening, this was done through the nose. A rapidly developing, potentially fatal cellulitis that affects the sublingual, submental, sub-mandibular, and parapharyngeal regions is known as Ludwig's angina. Keep in mind the edoema, swelling aryt-enoids and voice cords brought on by the illness, as well as the supra- and subglottic secretions.

Karim Kassam. When would awake fiberoptic nasal intubation be used in a clinical setting. Insights of Clinical and Medical Images 2022.