was given over ten minutes. Four percent lidocaine oral gargle and nebulization was used to anesthetize the oral cavity and supraglottic area. In addition, bilateral superior laryngeal nerve blocks were performed. A 7.0-mm internal diameter endotracheal tube (ETT) was pre-mounted over the fibrescope. Flexible fibrescopy was done via the left nostril with a continuous flow of 3 L·min –1 oxygen through the suction port. It required 40 sec for maneuvering the fibrescope to visualize the carina. While the ETT could not be railroaded on the first attempt, a slight rotation of the ETT and a deep breath facilitated its correct placement in the trachea. The whole procedure took about 100 sec, with the patient remaining awake and responsive to command throughout. During the awake intubation, the patient’s SpO 2 remained between 97% and 99%. The heart rate varied from 88 to 96 beats·min –1 and maximum systolic blood pressure was 124 mmHg, a rise of 16 mmHg from the immediate pre-fibrescopy value. The next day, the patient described his experience of fibrescopy procedure as only mildly uncomfortable. We believe that DEX 1 mg·kg –1 iv contributed to the stability of the hemodynamic course during this brief, but intense

Intraoperative stimulation of the P6 point controls postoperative nausea and