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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 3  |  Page : 317-320

Paraglossal Straight Blade Intubation Technique-an Old Technique Revisited in Difficult Intubations: A Series of 5 Cases


Assistant Professor, Department of Anesthesia and ENT, Himalayan Institute of Medical Sciences, Jollygrant, Dehradun, Uttarakhand, India

Correspondence Address:
Sanjay Agrawal
Assistant Professor, Anaesthesia, Himalayan Institute of Medical Sciences, Jollygrant, Dehradun
India
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Source of Support: None, Conflict of Interest: None


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We as anaesthesiologist at times encounter patients with mandibular dystocias, and oral/oropharyngeal lesions for surgical management. Such patients pose a challenge for airway management and intubation and at times proce­dure may end with tracheostomy. The Macintosh curved blade laryngoscopy is gold standard for intubation. This technique may be technically flawed in conditions like vallecular cyst, tonsillar growth, mandibular dystocias and hemifacial microsmia. However the experience of otolaryngologists to visualize the glottis using a straight blade direct laryngoscope (Jackson type) in cases where anaesthesiologist fails, prompted us to use straight blade laryngoscope (Miller's) for intubation. Here we describe, review and discuss an alternative technique of paraglossal straight blade intubation. We have tried this technique in five patients of difficult intubation and were able to avoid emergency cricothyrotomy and tracheostomy.


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