A survey of Difficult Airway Society members sheds light on awake fibre optic intubation practices.
Most respondents (48%) had performed less than 5 within the last 2 years. Some (10%) had not performed any during this period.
Remifentanil was the most common sedative with local topicalisation and spray-as-you-go local anesthesia.
Complications did not differ between techniques, and included desaturation, multiple attempts or failed intubation.
The low numbers are a cause for concern in this still core technique and expert guidelines are awaited.