A 65-year-old male presented with a painful throat due to an impacted fishbone in his supraglottic area. He had mild hoarseness but no signs of airway obstruction. He was given high-flow nasal oxygen for 5 minutes and then underwent general anesthesia for laryngoscopy and successful removal of the fishbone using Magill forceps. The procedure took 15 minutes and his oxygen saturation remained above 99% throughout.

1. THRIVE

8. • 65 years old male
• Impacted Fishbone in supraglottic area
• Mild Horesness of voice
• No signs of airway obstruction
• Very Painful throat.

10. • HFNO using Airvo 2 for 5 minuets
• ENT surgeon available and ready, agreed airway
plan .
• TIVA commences ,LOC , Jaw Thrust by assistant
,Glidescope …impacted fishbone … spraying of
vocal cords ….magill forceps and successful
removal …ENT check …patient kept on HFNO
until spontaneous breathing and being awake…
• Total time 15 minutes , lowest SO2 99%..