{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:56:19Z","timestamp":1777726579374,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the feasibility of an awake fiberoptic intubation (AFOI) protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We enrolled 40 patients with simulated difficult intubation. The protocol consisted of conscious sedation (midazolam, 0.03\u2009mg\/kg and sufentanil, 0.1 \u00b5g\/kg), regional anesthesia, and intubation. The time, first-attempt intubation success rate, hemodynamic parameters, blood oxygen saturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ), intubation amnesia rate, patient satisfaction, and relative complications were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      AFOI was completed in all patients. The average total AFOI time was 14.17\u2009\u00b1\u20091.47 minutes, and the time to placing the landmark-guided bilateral superior laryngeal nerve block was 1.24\u2009\u00b1\u20090.42 minutes. The first-attempt intubation success rate was 97.5%, and patient satisfaction was 90%. Blood pressure changed (&lt;20%) briefly after administering conscious sedation. Heart rates did not change significantly, and SpO\n                      <jats:sub>2<\/jats:sub>\n                      remained stable and \u226595%. Three patients had a sore throat, which resolved on postoperative day 1 without other complications. On postoperative day 1, 82.5% (33\/40) of the patients had no recall of AFOI, and 17.5% (7\/40) had only an indistinct memory.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The protocol was feasible with a high first-attempt intubation success rate and low complications rate. Hemodynamic parameters and respiration remained stable, with high patient satisfaction and effective amnesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520987395","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T23:30:48Z","timestamp":1611185448000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Awake fiberoptic orotracheal intubation: a protocol feasibility study"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0123-9422","authenticated-orcid":false,"given":"Yuanyuan","family":"Ma","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengjin","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai, 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