Dr. Moied Demonstrated Live Fibreoptic Intubation on Patients
Dr. Syed Moied Ahmed, Associate Professor and ICU In-Charge, J.N. Medical College, Aligarh Muslim University, performed live demonstration of awake fibreoptic intubation on two adult patients who were unable to open their mouth (TMJ ankylosig) and also delivered a lecture on Airway Management in Trauma patients and chaired a session at the workshop conducted on the management of difficult airway for the first time in UP and Northern India. The workshop, organized by the King George’s Medical College, Lucknow was a part of the International Conference on Difficult Airway and Mechanical Ventilation in Anaesthesia and Critical Care.
Dr. Moied told that the patients were posted for releasing of the joint. Initially he briefly described the parts of fibreoptic bronchoscope and their functions. He then demonstrated every step of the procedure on the patient, starting from counseling the patient for his cooperation, administration of nerve blocks for making the nasal opening, nasal passage and throat numb, followed by intubation with the fibreoptic bronchoscope through the nasal route since the patient had no mouth opening. He further mentioned that the advantages of this technique are that the patient remains conscious throughout the procedure, cooperates with the anaesthetist and the airway is never lost.
Dr. Moied was assisted by Dr. S.N. Maytra, Associate Professor from Tata Memorial Hospital, Mumbai and the staff of the Medical College, Lucknow. The workshop was live telecasted from the operation theatre to the Science Convention Centre, Lucknow. The live workshop was attended by more than 400 national and international delegates.
Recently, Dr. Moied along with his team including Dr. Abu Nadeem, Dr. Obaid Siddiqui, Dr. Zafeer and the junior residents, Dr. Sabihul Islam, Dr. Shiwani and Dr. Chandni, was also invited to conduct difficult Airway Workshop at Sri Gokulum Hospital, Salem, Tamil Nadu. After demonstrating the different techniques of difficult airway management on dummies, Dr. Moied along with his team was invited to intubate a patient with no mouth opening (TMJ ankylosig). He performed fibreoptic laryngoscopy and intubated the patient with PVC tube which prevented kinking of the tube and finally could be ventilated. Dr. Moied said that he had never seen such a case before, neither he has read in the literature.