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  Indian J Med Microbiol
 

Figure 1: (a) Thumb of operator's left hand is used to grasp and lift the endotracheal tube and the tongue, whereas the remaining four fingers grasp and lift the mandible externally. (b) Operator's right hand introduces the nasogastric tube into the nares. (c) Fiberoptic view showing how this manoeuver lifts the arytenoids and makes the cricopharyngeus (upper oesophageal sphincter) patent (arrow head) and (d) easy passage of the tube (arrow) into the oesophagus

Figure 1: (a) Thumb of operator's left hand is used to grasp and lift the endotracheal tube and the tongue, whereas the remaining four fingers grasp and lift the mandible externally. (b) Operator's right hand introduces the nasogastric tube into the nares. (c) Fiberoptic view showing how this manoeuver lifts the arytenoids and makes the cricopharyngeus (upper oesophageal sphincter) patent (arrow head) and (d) easy passage of the tube (arrow) into the oesophagus