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Fiberoptic intubation is occasionally needed to secure the airway in difficult intubation patients. In deeply sedated or anesthetized patients, the base of the tongue and epiglottis are displaced backwards to the posterior pharyngeal wall and the oropharyngeal and hypopharyngeal space is small, which hinders passage of the fiberoptic cable into the glottic opening. Consequently, it is important to secure the oropharyngeal and hypopharyngeal space and maintain the fiberoptic cable in the midline position during fiberoptic intubation to facilitate the fiberoptic intubation. This necessitates a fiberoptic-compatible intubating oral airway to maintain mask ventilation and allow easy orotracheal fiberoptic intubation in heavily sedated and unconscious patients, especially in difficult intubation situations. Several commercial fiberoptic airways, including the Williams Airway Intubator, Luomanen Airway, Patil-Syracuse Airway, Ovassapian Airway and Berman Intubating Airway, are available [1].

Lee fiberoptic intubating airway for facilitating orotracheal fiberoptic intubation