The aim of this study was to compare three different awake tracheal intubation technique
-fiberoptic bronchoscopy (ATI:FB), videolaryngoscopy (ATI:VL), and fiberoptic bronchoscopy via a supraglottic airway device (ATI:SAD)- in terms of success rates, intubation times, and complications. Additionally, the study aims to evaluate the reliability of the SAD-assisted ATI method and its potential to contribute to the literature.
Adult patients aged 18 and older
Patients classified as ASA I-II according to the American Society of Anesthesiologists (ASA) classification
Patients scheduled for elective surgery
Patients expected to require difficult mask ventilation, difficult laryngoscopy, or difficult tracheal intubation; patients expected to have short apnea periods (Planjuan goiter); patients at risk of aspiration; patients expected to require difficult rescue techniques; and patients with a reported history of difficult intubation
Patients with a mouth opening <1.5 cm
Patients requiring emergency intubation or emergency surgery (situations where there is insufficient time to administer ATI)
Patients who cannot cooperate (mental incapacity, impaired consciousness, inability to communicate, etc.)
Patients with known allergies to lidocaine or other local/topical anesthetic agents used