Does left molar approach to laryngoscopy make difficult intubation easier than the conventional midline approach?

European Journal of Anaesthesiology

Volumn 25, Issue 8, 2008, Pages 681-684

  Bozdogan, N ^a,b   Sener, M ^a   Bilen, A ^a   Turkoz, A ^a   Donmez, A ^a   Arslan, G ^a  

^a BASKENT UNIVERSITY   (Turkey)

^b Baskent Universitesi Adana Hastanesi   (Turkey)

Author keywords

Intubation intratracheal, technique; Laryngoscopes, Macintosh; Larynx

Indexed keywords

FENTANYL; PROPOFOL; THIOPENTAL; VECURONIUM;

ADULT; ARTICLE; CLINICAL ARTICLE; COMPRESSION; ENDOTRACHEAL INTUBATION; EVALUATION; FEMALE; GENERAL ANESTHESIA; HUMAN; INFORMED CONSENT; LARYNGOSCOPY; LARYNX; MALE; MOLAR TOOTH; OUTCOME ASSESSMENT; PATIENT CODING; TREATMENT FAILURE;

FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGOSCOPY; LARYNX; MALE; MIDDLE AGED; MOLAR; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME;

EID: 46249093114     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1017/S0265021508004110     Document Type: Article

References (17)

1. Schmitt HJ, Kirmse M, Radespiel-Troger M. Ratio of patient's height to thyromental distance improves prediction of difficult laryngoscopy. Anaesth Intensive Care 2002; 30: 763-765.
2. Tse JC, Rimm EB, Hussain A. Predicting difficult endotracheal intubation in surgical patients scheduled for general anesthesia: a prospective blind study. Anesth Analg 1995; 81: 254-258.
3. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105-1111.
4. Schmitt HJ, Mang H. Head and neck elevation beyond the sniffing position improves laryngeal view in cases of difficult direct laryngoscopy. J Clin Anesth 2002; 14: 335-338.
5. Tamura M, Ishikawa T, Kato R, Isono S, Nishino T. Mandibular advancement improves the laryngeal view during direct laryngoscopy performed by inexperienced physicians. Anesthesiology 2004; 100: 598-601.
6. Benumof JL, Cooper SD. Quantitative improvement in laryngoscopic view by optimal external laryngeal manipulation. J Clin Anesth 1996; 8: 136-140.
7. Henderson JJ. The use of paraglossal straight blade laryngoscopy in difficult tracheal intubation. Anaesthesia 1997; 52: 552-560.
8. Mallampati SR, Gatt SP, Gugino LD et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985; 32: 429-434.
9. Wilson ME, Spiegelhalter D, Robertson JA, Lesser P. Predicting difficult intubation. Br J Anaesth 1988; 61: 211-216.
10. Yamamoto K, Tsubokawa T, Ohmura S, Itoh H, Kobayashi T. Left-molar approach improves the laryngeal view in patients with difficult laryngoscopy. Anesthesiology 2000; 92: 70-74.
11. Farley C, Bowler I, Stacey M. The left molar approach assisting fibreoptic intubation. Anaesthesia 2002; 57: 1031-1033.
12. Mentzelopoulos SD, Armaganidis A, Niokou D et al. MRI of the upper airway and McCoy-balloon laryngoscopy with left molar approach in a patient with arthrogryposis multiplex congenita and previous unsuccessful endotracheal intubation. Anesth Analg 2004; 99: 1879-1880.
13. Sato N, Shingu K. Another reason to choose the left molar approach of laryngoscopy: to spare the incisor teeth. Anesthesiology 2002; 96: 1279.
14. Asai T. The view of the glottis at laryngoscopy after unexpectedly difficult placement of the laryngeal mask. Anaesthesia 1996; 51: 1063-1065.
15. Mulcahy AJ, Yentis SM. Management of the unexpected difficult airway. Anaesthesia 2005; 60: 1147-1148.
16. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98: 1269-1277. Erratum in: Anesthesiology 2004; 101: 565.
17. Koyama J, Aoyama T, Kusano Y et al. Description and first clinical application of Airway Scope for tracheal intubation. J Neurosurg Anesthesiol 2006; 18: 247-250.