Awake Intubation With The GlideScope

Awake intubation with the GlideScope can be an especially helpful technique when intubation of a difficult airway under direct vision is optimal. One of the most challenging scenarios to face is a tumor in the airway. Working closely with your surgeon is important. In this particular case, we actually had a video available of what this 8 mm airway polyp looked like popping in and out of a laryngeal opening of about the same size with each breath like a potential cork. According to the surgeon our patient had come to the clinic because she had been experiencing some increased shortness of breath. Having the video was a rare advantage. Follow this link to youtube video showing pedunculated vocal cord polyp obstructing the glottic opening. Here are some stills from that video.

Photo of pedunculated laryngeal polyp in lowest position below vocal cords at end of inhalation

Photo of pedunculated laryngeal polyp in lowest position below vocal cords at end of inhalation

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