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Florida Society of Anesthesiologists

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2024 FSA Podium and Poster Abstracts

2024 FSA Podium and Poster Abstracts

P019: FINGER ASSIST FIBEROPTIC INTUBATION (FAFI): AN INTUBATION TECHNIQUE IN CASE STANDARD VIDEO LARYNGOSCOPY METHODS ARE INEFFECTIVE
Noah Sockwell1; Jaime Said2; Matthew Sockwell3; 1American University of the Caribbean School of Medicine; 2Alabama College of Osteopathic Medicine; 3HCA Florida Gulf Coast Hospital

Airway management is a cornerstone of emergency medical care, continually evolving with advancements in technology and technique. Digital intubation, once prominent, has been largely supplanted by direct and indirect laryngoscopy, driven by technological innovations such as the GlideScope and McGrath video laryngoscopes. These devices offer enhanced visualization of the glottis, improving intubation success rates but also presenting challenges, including difficulty in maneuvering the endotracheal tube. In response, the Finger Assist Fiberoptic Intubation (FAFI) technique has emerged as a valuable adjunct, particularly in scenarios where traditional tools may be impractical. FAFI involves a collaborative effort between providers, utilizing tactile guidance to navigate the airway with precision. We present three cases demonstrating the successful application of FAFI, illustrating its utility in overcoming difficult intubations. Careful patient selection and practitioner training are essential for safe and effective implementation. FAFI represents a promising advancement in airway management, offering a versatile approach to challenging intubations. As medical science continues to progress, FAFI stands as a testament to our commitment to innovation and adaptability in optimizing patient care.

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