Comparing performance of Fastrach ILMA vs flexible bronchoscope for awake intubation

In the recent article by Hanna et al. [1] comparing the performance of Fastrach intubating laryngeal mask airway (ILMA) and flexible bronchoscopy (FB) for awake intubation in patients with difficult airways, they showed that the Fastrach ILMA compared to the FB provided a higher first-pass success rate (95% vs 58%) and a shorter mean time to intubation (92 vs 246s). Given that awake intubation is a cornerstone for safe management of predicted or known difficult airways, their findings have potential implications.

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