Introduction: Difficult intubation is an emergency situation that anaesthetist come across frequently. It a frequent cause of mortality in practice anesthesia. Mallampati classification (MPC) the oropharyngeal structures simple test to assess anticipated difficult airway for endotracheal intubation. thyromental height (TMH) now also commonly used predict Objective: To evaluate diagnostic accura...

BACKGROUND The Glidescope® videolaryngoscope is a new device for tracheal intubation that provides an improved view of the larynx. This study was performed to compare the Glidescope with the McGrath videolaryngoscope in terms of time to intubation (TTI) and number of attempts. METHODS Patients were randomly allocated to one of two groups, Glidescope or McGrath group, by using computer-generat...

STUDY OBJECTIVE We determine the proportion of successful intubations with the C-MAC video laryngoscope (C-MAC) compared with the direct laryngoscope in emergency department (ED) intubations. METHODS This was a retrospective analysis of prospectively collected data entered into a continuous quality improvement database during a 28-month period in an academic ED. After each intubation, the ope...

PURPOSE To investigate the characteristics of difficult intubation and identify novel efficient predictors in patients with acromegaly. METHODS Patients with either untreated acromegaly or non-functional pituitary adenomas were enrolled. Patients with acromegaly underwent hormone assays, upper airway computed tomography and magnetic resonance imaging examinations and preoperative overnight po...

Nasotracheal intubation is frequently used for airway management during maxillofacial surgery. Complications such as haemorrhage occur more frequently with this route of intubation than with the orotracheal route. This case report describes a male patient aged 51 yr who developed severe epistaxis after the tube had passed the nares. As an additional complication laryngoscopy and endotracheal in...

Background: Glidescope® video laryngoscope (GVL) is widely used in tracheal intubation. However, no studies have been conducted to compare the GVL and Macintosh direct laryngoscope (MDL) for intubation in patients with laryngeal neoplasm. Here, we aim to compare GVL and MDL for the intubation of laryngeal neoplasm patients. Methods: One hundred ninety-six American Society of Anesthesiology (ASA...

STUDY OBJECTIVE Orotracheal intubation (OTI) is commonly used to establish a definitive airway in major trauma victims, with several different cervical spine immobilization techniques and laryngoscope blade types used. This experimental, randomized, crossover trial evaluated the effects of manual in-line stabilization and cervical collar immobilization and 3 different laryngoscope blades on cer...

This case report involves tracheal intubation using i-gel® in combination with a lightwand in a patient with a difficult airway, classified as Cormack-Lehane grade 3. I-gel® was used during anesthesia induction to properly maintain ventilation. The authors have previously reported successful tracheal intubation on a patient with a difficult airway through the use of i-gel® and a fiberoptic bron...

Involvement of cervical spine in ankylosing spondylitis limits neck movement resulting in difficult intubation. We report a case of 45-yr-old lady of ankylosing spondylitis with restricted neck movement planned for emergency laparotomy. Grade 3 Cormack and Lehane laryngoscopic view was observed with Macintosh laryngoscope and gum elastic bougie could not be negotiated. At second attempt with Mc...