title: Evaluation of intubating conditions using stylet by conventional through-tube technique and through Murphy's eye in patients with high Mallampati scores.
abstract: BACKGROUND
  Difficult intubation is always a nightmare for an Anaesthetist. This study was planned to study the alternative method of stylet use during difficult oro-tracheal intubation. Outcome measures assessed were ease of intubation, hemodynamic stability and reducing complications.
  
  
  METHODS
  A cohort of 60 patients of Mallampati class III patients was formed and patients were divided into two groups. In group 1 patients, conventional through tube method was used for inserting stylet, whereas, in group 2 patients, Murphy's eye was used for inserting malleable flexi tip stylet.
  
  
  RESULTS
  Hemodynamic stability in terms of mean arterial blood pressure and heart rate was observed in group 2. Intubating time, number of attempts of successful intubation and post operative pharyngo-laryngeal complications was also low in group 2 patients.
  
  
  CONCLUSIONS
  The use of Murphy's eye to pass stylet during difficult airway manoeuvre is a safe alternative over conventional rail-road technique.
authors.affiliation: Department of Anesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Haider
authors.initials: H
authors.lastname: Abbas
authors.affiliation: Department of Anesthesiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Kothari
authors.affiliation: Department of Anesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Aman
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Department of Anesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Sulekha
authors.initials: S
authors.lastname: Saxena
authors.affiliation: Department of Anesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Jaishri
authors.initials: J
authors.lastname: Bogra
keywords: Ease of intubation; Murphy's eye; endotracheal intubation; stylet