32 patients undergoing elective orthopedic surgery under general anesthesia were randomly divided into 2 groups. 15 patients received bilateral superior laryngeal nerve block SLNB prior to the induction of general anesthesia Group B , and the other 17 patients did not Control: Group C . After induction of anesthesia with 2.0 mg kg of propofol and 0.2 mg kg of vecuronium, tracheal intubation was...

Editor, I would like to present a method of local anaesthesia for ‘awake intubation’, i.e. intubation in a conscious patient under local anaesthesia and sedation using the Truview PCD laryngoscope (Truphatek, Israel), for cases of anticipated difficult intubation. The use of video laryngoscopes for awake intubation has been described in the literature as a good alternative to fibreoptic intubat...

BACKGROUND Paramedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Airtraq and Truview laryngoscopes may...

We compared the efficacy of the Airway Scope and McCoy laryngoscope as intubation tools with the neck stabilised by a rigid cervical collar. After induction of anaesthesia and neck stabilisation, 100 patients were randomly assigned to tracheal intubation with an Airway Scope or McCoy laryngoscope. Overall intubation success rate, time required for intubation, number of intubation attempts requi...

BACKGROUND Pre-hospital endotracheal intubation is challenging and repeated endotracheal intubation is associated with increased morbidity and mortality. We investigated whether the introduction of the McGrath MAC video laryngoscope as the primary device for pre-hospital endotracheal intubation could improve first-pass success rate in our anaesthesiologist-staffed pre-hospital critical care ser...

To cite: Vaidya S, Gupta SL, R P, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207084 DESCRIPTION A 30-year-old woman with fibroid uterus was operated on for myomectomy under general anaesthesia. Preoperative evaluation revealed adequate mouth opening, neck extension, thyromental distance and Mallampati grade 1. In the operating room, anaesthesia was...

BACKGROUND We aimed at comparing the performance of the C-MAC®, Airtraq®, and Macintosh laryngoscopes when performing tracheal intubation in patients undergoing neck immobilization using manual inline axial cervical spine stabilization. METHODS Ninety consenting patients presenting for surgery requiring tracheal intubation were randomly assigned to undergo intubation using a C-MAC® (n=30), Ai...