An introducer for difficult intubation

Successful blind digital intubation with a bougie introducer in a patient with an unexpected difficult airway.

Use of esophageal stethoscope as an introducer during nasotracheal intubation.

To the Editor:—We read with interest the case report by Williams et al. of an accidental middle turbinectomy during nasotracheal intubation. Though the authors stated it as being the first case, there have been some earlier reports on middle turbinectomy. Prewarming of endotracheal tube (ETT) to soften, lubricating of the ETT, and using a vasoconstrictor have been recommended to reduce trauma d...

Blind nasal intubation as an alternative to difficult intubation approaches

Airway difficulties are a major concern for anesthesiologists. Even though fiberoptic intubation is the generally accepted method for management of difficult airways, it is not without disadvantages-requires patient cooperation, and cannot be performed on soiled airway or upper airways with pre-existing narrowing pathology. Additionally, fiberoptic bronchoscopy is not available at every medical...

Sevoflurane for difficult tracheal intubation.

Three patients in whom difficult tracheal intubation was expected but awake fibreoptic intubation was not feasible presented for head and neck surgery. Anaesthesia was induced rapidly and smoothly by inhalation of sevoflurane followed by fibreoptic or conventional tracheal intubation.

GlideScope and Frova Introducer for Difficult Airway Management

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles...