As promised,
Several links with videos on the process of fiberoptic as well as topicalization. Lots of variations on strategies here, some of which of course are really more applicable for awake Anesthesia patients and may not fit our population but definitely helpful.
The Life in the Fast Lane has a good written summary as well. Hope these help. Email or talk with me for questions!
Good video of topicalization process for awake nasal and oral
Dr. Gallagher discussing the gist of fiberoptic intubation
Rich Levitan’s Video of Fiberoptic Intubation
https://www.youtube.com/watch?v=rljSPu7-vZA
20 min video from Anesthesiolgoist on Fiberoptic- decently covers range of topics
https://lifeinthefastlane.com/ccc/awake-intubation/
LIFTL summary with a couple different videos both on awake intubation and also fiberoptic
https://www.youtube.com/watch?v=c9pAQ3DUKVM
Dr. Ali Diba using aScope on Awake patient—uses spray as you go technique
Narrated Talk on Topicalization: They do both Nasal and Oral for an Oral Fiberoptic for some reason. Also used both viscous Lidocaine and Ointment then sprayed cords.
Video on the LMA MADgic