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Post-Prone Airway Oedema Rescue — FRCA Final MCQ

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HardAirway ManagementPost-Prone Airway Oedema RescueFRCA Final

Post-prone posterior fossa craniotomy: complete airway obstruction after extubation, marked facial oedema. Mask ventilation impossible, oral intubation fails, front of neck inaccessible. Best rescue?

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Correct answer: A — Nasal fibreoptic intubation

Post-prone facial oedema: nasal airway less affected by external oedema. Flexible scope navigates oedematous supraglottic tissue. Underscores importance of pre-extubation strategy after prone positioning including DAS extubation guidelines and cuff-leak test.

Reference: DAS – 2025 – Post-extubation airway complications