title: [Successful Intubation in a Patient with Limited Oral Opening by Using a Combination of the Parker Flex-IT™ Stylet and McGRATH® MAC Laryngoscopy].
abstract: A 74-year-old female patient underwent a coil embolization for an unruptured cerebral aneurysm. A routine anesthetic protocol was devised as there was no risk of a difficult airway. We attempted to intubate by using direct laryngoscopy but were unable to because the mouth only opened approximately one finger-breadth. We then attempted to intubate using Mc-GRATH® MAC laryngoscopy; the McGRATH® MAC laryngoscope could be inserted orally by force, but a tracheal tube and stylet could not been guided into the glottis. We changed the stylet to a Parker Flex-IT™ Stylet (Parker Medical, CO, USA), which can be freely curved by pushing the sum button on the top of the stylet. As a result, easy intubation was possible, and the DLT was maneuvered at a proper angle while examining the vocal cords by using the Parker Flex-IT™ Stylet In conclusion, when a McGRATH® MAC laryngoscope cannot be operated freely in the oral cavity owing to a limited oral opening, we can instead intubate easily and effectively by using a combination of a Parker Flex-IT™ Stylet and the McGRATH® MAC video laryngoscope.
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ueshima
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Terao
authors.forename: Akira
authors.initials: A
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy / Q000379:methods*; D009055:Mouth