{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:32:41Z","timestamp":1787772761733,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Bronchoscopy is a widely used technique for diagnostic and therapeutic purposes. Though it requires anesthesia, many options are available, depending on the patient\u2019s health status, the purpose of the procedure, and the type of bronchoscope used. One such health status is heart failure, a leading cause of death, and a common challenge of anesthesiology. We report a 60-year-old male patient who is a known case of heart failure with an ejection fraction of 15%, and an implanted cardioverter defibrillator, along with concurrent ischemic heart disease, diabetes mellitus, and hypertension, who presented complaining of dysphagia. This highly morbid patient was able to successfully undergo a bronchoscopic biopsy with nerve block anesthesia considering his inadequacy for conventional methods. This report aims to shed light on these challenging cases and alert anesthesiologists on how to manage such situations in patients with cardiac morbidities.<\/jats:p>","DOI":"10.4103\/aca.aca_13_24","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T07:16:25Z","timestamp":1724915785000},"page":"352-356","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Successful Awake Fiberoptic Bronchoscopy Intubation of a Cardiomorbid Patient: A Case Report"],"prefix":"10.4103","volume":"27","author":[{"given":"Qusai A.","family":"Alsalah","sequence":"first","affiliation":[{"name":"Polytechnic Medical Students\u2019 Research Association, Faculty of Medicine, Palestine Polytechnic University, Hebron, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter R.","family":"Bael","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arein A. M.","family":"Abufara","sequence":"additional","affiliation":[{"name":"Polytechnic Medical Students\u2019 Research Association, Faculty of Medicine, Palestine Polytechnic University, Hebron, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad I.","family":"Alsahouri","sequence":"additional","affiliation":[{"name":"Polytechnic Medical Students\u2019 Research Association, Faculty of Medicine, Palestine Polytechnic University, Hebron, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef","family":"Abu Asbeh","sequence":"additional","affiliation":[{"name":"Consultant Thoracic Surgeon, Thoracic Surgery Unit, Al-Ahli Hospital, Hebron, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majde","family":"Hamamdh","sequence":"additional","affiliation":[{"name":"Anesthesiologist, Anesthesia and Critical Care, Al-Ahli Hospital, Hebron, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"R1-20241226","doi-asserted-by":"crossref","first-page":"565","DOI":"10.4103\/0019-5049.165851","article-title":"Anaesthesia for bronchoscopy","volume":"59","author":"Chadha","year":"2015","journal-title":"Indian J Anaesth"},{"key":"R2-20241226","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1213\/ANE.0000000000004087","article-title":"Awake fiberoptic intubation protocols in the operating room for anticipated difficult airway: A systematic review and meta-analysis of randomized controlled trials","volume":"128","author":"Cabrini","year":"2019","journal-title":"Anesth Analg"},{"key":"R4-20241226","doi-asserted-by":"crossref","first-page":"255","DOI":"10.4103\/0259-1162.171443","article-title":"The efficacy of combined regional nerve blocks in awake orotracheal fiberoptic intubation","volume":"10","author":"Chatrath","year":"2016","journal-title":"Anesth Essays Res"},{"key":"R5-20241226","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1093\/bja\/aeh167","article-title":"Heart failure","volume":"93","author":"Magner","year":"2004","journal-title":"Br J Anaesth"},{"key":"R6-20241226","doi-asserted-by":"crossref","first-page":"e133796","DOI":"10.5812\/aapm-133796","article-title":"Anesthesia management for the patient with chronic decompensated heart failure and low cardiac output undergoing CABG with advanced cardiac monitoring: A case report","volume":"13","author":"Dayani","year":"2023","journal-title":"Anesth Pain Med"},{"key":"R7-20241226","first-page":"825","article-title":"Anesthesia and congestive heart failure: Pathology, medical, and surgical management","volume":"18","author":"Armstrong","year":"2006","journal-title":"Middle East J Anaesthesiol"},{"key":"R9-20241226","first-page":"78","article-title":"Evaluation of airway blocks versus general anaesthesia for diagnostic direct laryngoscopy and biopsy for carcinoma larynx","volume":"110","author":"Trivedi","year":"2012","journal-title":"J Indian Med Assoc"},{"key":"R10-20241226","doi-asserted-by":"crossref","first-page":"126","DOI":"10.2344\/0003-3006-58.3.126","article-title":"Recognition and management of complications during moderate and deep sedation. Part 2: Cardiovascular considerations","volume":"58","author":"Becker","year":"2011","journal-title":"Anesth Prog"},{"key":"R11-20241226","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2147\/LRA.S277152","article-title":"Selective spinal anesthesia in a patient with low ejection fraction who underwent emergent below-knee amputation in a resource-constrained setting","volume":"13","author":"Mulugeta","year":"2020","journal-title":"Local Reg Anesth"},{"key":"R12-20241226","first-page":"73","article-title":"Comparison between effectiveness of transtracheal block alone versus superior laryngeal nerve block and transtracheal block for awake fiberoptic intubation: A randomized controlled trial","volume":"11","author":"Ahmad","year":"2019","journal-title":"Isra Med J"},{"key":"R13-20241226","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1097\/ACO.0000000000000540","article-title":"Anticipated and unanticipated difficult airway management","volume":"31","author":"Xu","year":"2018","journal-title":"Curr Opin Anaesthesiol"},{"key":"R14-20241226","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1097\/EJA.0b013e328343222d","article-title":"Patients\u02bc experience of awake versus anaesthetised orotracheal intubation: A controlled study","volume":"28","author":"Schnack","year":"2011","journal-title":"Eur J Anaesthesiol"},{"key":"R15-20241226","doi-asserted-by":"crossref","first-page":"e980","DOI":"10.1097\/CCM.0000000000002586","article-title":"A technique of awake bronchoscopic endotracheal intubation for respiratory failure in patients with right heart failure and pulmonary hypertension","volume":"45","author":"Johannes","year":"2017","journal-title":"Crit Care Med"},{"key":"R16-20241226","first-page":"641","article-title":"Regional and topical anaesthesia of upper airways","volume":"53","author":"Pani","year":"2009","journal-title":"Indian J Anaesth"},{"key":"R17-20241226","doi-asserted-by":"crossref","first-page":"120","DOI":"10.4097\/kjae.2018.71.2.120","article-title":"Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy-guided nasotracheal intubation: A single-blind randomized prospective study","volume":"71","author":"Mathur","year":"2018","journal-title":"Korean J Anesthesiol"},{"key":"R18-20241226","article-title":"Preparation for Awake Intubation, The Difficult Airway: A Practical Guide. New York, 2013. online edn","author":"Artime","year":"2013","journal-title":"Oxford Academic"},{"key":"R19-20241226","doi-asserted-by":"crossref","first-page":"736","DOI":"10.4103\/ija.IJA_346_17","article-title":"Anaesthetic consideration in patients with cardiac implantable electronic devices scheduled for surgery","volume":"61","author":"Chakravarthy","year":"2017","journal-title":"Indian J Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_13_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:11:40Z","timestamp":1787771500000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_13_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,28]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_13_24","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,28]]},"assertion":[{"value":"2024-01-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}