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Correspondence  |   March 2002
Another Technique of Facilitating a Difficult Intubation
Author Affiliations & Notes
  • Martin Livingston, M.D.
    *
  • New York Ear and Eye Infirmary, New York, New York
Article Information
Correspondence
Correspondence   |   March 2002
Another Technique of Facilitating a Difficult Intubation
Anesthesiology 3 2002, Vol.96, 778. doi:
Anesthesiology 3 2002, Vol.96, 778. doi:
To the Editor:—
We would like to comment on Dr. Feingold's technique of facilitating a difficult intubation with an LTA® cannula (Abbott Laboratories, North Chicago, IL), described in the June 2001 issue of Anesthesiology. 1 We described an instrument to help solve the same problem in the January–February 1967 issue of Anesthesiology. 2 Our instrument is called an “epiglottic elevator” and was made for us by Foregger and Company (Long Island, NY). This instrument might have some advantages over the flexible LTA® cannula. The probe was rigid and was more controllable. The handle was offset and weighted. It could be released outside the mouth and became a self-retaining epiglottic elevator, maintaining the elevation of the epiglottis and a view of the glottic chink. The right hand was free to insert the endotracheal tube alongside the epiglottic elevator extended into the trachea.
References
Feingold A: LTA cannula can facilitate a difficult tracheal intubation (letter). A nesthesiology 2001; 94: 1153Feingold, A
Livingston M, Durell R: Epiglottic elevator. A nesthesiology 1967; 28: 214–5Livingston, M Durell, R