Describe the indications for an awake intubation

If the physical examination leaves in question the ability to ventilate and intubate once the patient is anesthetized and paralyzed, consideration should be given to awake intubation. Patients with a previous history of difficult intubation, acute processes that compromise the airway (e.g., soft-tissue infections of the head and neck, hematomas, mandibular fractures, or other significant facial deformities), morbid obesity, or cancer involving the larynx are reasonable candidates for awake intubation.

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