Awake Fiberoptic Intubation Using an Optical Stylet in an Anticipated Difficult Airway

Numerous rigid indirect fiberoptic and video-based airway tools have been developed as potential alternatives to direct laryngoscopy for intubation. Compared with flexible fiberoptic bronchoscopes, these devices are less expensive and may be easier to use. The role of these rigid instruments in managing the difficult airway in the emergency department is yet to be defined. This article details the use of a rigid fiberoptic stylet to manage an anticipated difficult airway by using topical anesthetic without sedation.