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.