TY - CHAP M1 - Book, Section TI - Flexible Bronchoscopic Intubation A1 - Morris, Ian R. A2 - Hung, Orlando R. A2 - Murphy, Michael F. PY - 2017 T2 - Hung's Difficult and Failed Airway Management, 3e AB - A 65-year-old male with carcinoma of the colon presents for colon resection. He weighs 120 kg and is 157 cm tall (BMI 48 kg·m−2). He has a history of hypertension and obstructive sleep apnea. On airway examination, he has a Mallampati IV score; 3-cm mouth opening, a large tongue, full dentition, about 0.5 cm of mandibular protrusion, a receding mandible, decreased cervical spine extension, and has a short thick neck. His cricothyroid membrane is difficult to palpate. He has predictors of difficult direct laryngoscopy, difficult video-laryngoscopy, difficult bag-mask-ventilation, difficult extraglottic device (EGD) use, and a difficult surgical airway. He is likely to be intolerant of apnea. An awake bronchoscopic intubation was performed which was uneventful as was his subsequent surgery. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1146616306 ER -