Use of the McCoy laryngoscope or fingers to facilitate fibrescope-aided tracheal intubation.
In fibrescope-aided tracheal intubation, it can be difficult to advance a tube over a fibrescope, because its passage may be impeded by the epiglottis, arytenoids or pyriform fossa. In two patients with difficult intubation, after successful insertion of a fibrescope into the trachea, it was impossible to advance the tube over the fibrescope. Fibrescope-aided tracheal intubation was accomplished by shifting the epiglottis anteriorly and 'opening up' the glottis either by fingers or the McCoy laryngoscope.
Asai
T
T
Department of Anesthesiology, Kansai Medical University, Osaka, Japan.
Matsumoto
S
S
Shingu
K
K
D000368:Aged; D004825:Epiglottis; D005260:Female; D005336:Fiber Optic Technology / Q000379:methods*; D005385:Fingers; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged