Failed fibre optic intubation in a difficult airway- an anaesthetic nightmare

Awake fibreoptic intubation is the gold standard for an anticipated difficult airway, but it can fail even in expert hands. Supraglottic devices cannot be used in cases of oral masses or in large masses of the neck with distorted glottis. Thus, one should have alternative plans for securing the airway without causing hypoxia and the decision to perform tracheostomy must be taken at the right time.