Which technique is used for intubation in a patient with restricted neck mobility?

In cases where a patient has restricted neck mobility, awake intubation using a fiberoptic scope is the most appropriate technique. This method allows for visualization of the airway without requiring significant neck extension or flexion, which might be difficult or impossible for such patients. By performing the intubation while the patient is awake, there is also an opportunity to assess the patient's airway and to have them cooperate with positioning or maneuvers that facilitate the process.

Fiberoptic scopes provide excellent visualization of the airway due to their flexibility and the ability to maneuver through anatomical variations, making them particularly useful in patients with potentially complicated airways. Additionally, since the patient is awake, it can help ensure airway patency and may reduce the risk of complications associated with loss of protective airway reflexes.

In contrast, other techniques such as oral intubation using a rigid scope may not accommodate restricted neck mobility well, blind nasotracheal intubation carries risks especially in cases of limited head or neck movement, and rapid sequence intubation typically involves general anesthesia and can lead to airway compromise if the patient is unable to cooperate.