INTRODUCTION
Some patients cannot be intubated with a hyperangulated videolaryngoscope (HA-VL).1-4
This case-report describes a patient in respiratory failure requiring acute intubation, with previous impossible HA-VL intubation. If invasive techniques are to be avoided, acute Awake Tracheal Intubation with a Flexible Bronchoscope (ATI-FB) may be the best option.1, 3, 4
The Infrared Red Intubation System (IRRIS – Guide In Medical, Nazareth, Israel)5 may enhance the chances of success, especially, if the ATI-FB has to be performed by non-expert anaesthesiologists, who only infrequently perform FB.