Anaes Vivas · Airway management
Extubation of the difficult airway — clinical viva
A clinical viva on the planned extubation of a difficult airway in a high-risk patient, testing risk stratification, preparation, the airway exchange catheter, and the complications of emergence.
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Prompt
A morbidly obese man with obstructive sleep apnoea was intubated with difficulty using a videolaryngoscope after two attempts, for laparoscopic surgery. The operation is ending. How will you manage his extubation?
Stimulus
A morbidly obese man with obstructive sleep apnoea was intubated with difficulty using a videolaryngoscope after two attempts, for laparoscopic surgery. The operation is ending. How will you manage his extubation[7]?
References6ShowHide
- [1]Garioud A, et al. Pressure-Limited Oxygen Insufflation via the Airway Exchange Catheter: An In Vitro Study. A&A Practice, 2026.PMID 41879505
- [2]Saurabh K, et al. Effect of Semi-sitting Position on Airway Clearance Obtained by Jaw Thrust During Oral Fiberoptic-Guided Intubation. Cureus, 2026.PMID 42338868
- [3]Shrestha BR, et al. Negative Pressure Pulmonary Edema Following Septorhinoplasty. Kathmandu Univ Med J (KUMJ), 2025.PMID 42318738
- [5]He ZY, et al. Comparison of propofol-remifentanil target-controlled infusion with lidocaine versus neuromuscular blockade for laryngoscopy. Minerva Anestesiol, 2026.PMID 42267885
- [7]Popat M, et al. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia, 2012.PMID 22321104
- [8]Zhou T, et al. Cuff-leak test for predicting postextubation airway complications: a systematic review. J Evid Based Med, 2011.PMID 23672755