# Challenges of Emergency Low-Skill Fibreoptic Intubation in Airway Obstruction by a Neck Haematoma After the Sistrunk Procedure

## TL;DR

This paper discusses the challenges of managing a blocked airway caused by a neck hematoma after a Sistrunk procedure, requiring emergency low-skill fiber optic intubation.

## Contribution

The paper highlights the use of low-skill fiberoptic intubation in an unexpected difficult airway scenario following a Sistrunk procedure.

## Key findings

- Emergency airway management after a Sistrunk procedure can become unexpectedly difficult.
- Low-skill fiberoptic intubation was used as a rescue measure in a case of rapid airway obstruction.
- The case emphasizes the importance of preparedness for difficult airways in post-operative neck surgeries.

## Abstract

Anterior neck haematoma is a rare but potentially fatal emergency due to airway obstruction after a surgical intervention of the neck. Complete airway obstruction can be rapid and deteriorate exponentially. In a patient with a previously normal laryngeal view during his Sistrunk procedure, we describe the challenges and considerations faced in his second surgery for the evacuation of neck haematoma, which involved an unanticipated difficult airway after rapid sequence induction, necessitating rescue measures using low-skill fibreoptic intubation (LSFOI).