• Yu-Yung Lai, Jui-Teng Chien, and Shen-Jer Huang.
• Departments of Anesthesiology, Buddhist Dalin Tzu Chi General Hospital, Hualian, Taiwan, ROC.
• Acta Anaesthesiol Taiwan. 2007 Sep 1;45(3):169-73.

AbstractFlexible fiberoptic endoscope is the most valuable tool for anesthesiologists to manage difficult airways. Correctly positioning of the patient during fiberoptic intubation aids the clinician to rapidly secure the airway, because it not only saves time, but also minimizes the risk of repeated attempts of intubation with possible serious consequences in the wake. In general, fiberoptic intubation is carried out with the patient in the supine position, but there are situations in which the intubation requires the subjects to be in the sitting position. The sitting position also changes the position of performing anesthesiologist relative to the patient, presenting an inverse view contrary to that of traditional laryngoscopy. We can often obtain a superior view from fiberoptic intubation. Fiberoptic intubation in the sitting position can be applied to all patients, as long as there is no contraindication of having a patient be sat.

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