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.

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