Endotracheal intubation is not always easy

摘要

To the Editor:I read with interest the recent case published in Anesthesiology titled "Intermittent Airway Obstruction in a Neonate" by Schwartz et al. The main purpose of the publication was to show images of the cystic supraglottic lesion responsible for airway compromise and the images before and after surgical management. However, I could not help but notice that the authors described the intubation as "easily accomplished with direct laryngoscopy." They describe the mass involving not only the base of the tongue, but also the epiglottis and the glottis opening. The images show a Cormack-Lehane grade 3 view that corresponds to a percentage of glottic opening (POGO) score of 0%, a "restricted" or "difficult" view in the Cook classification (we do not know exactly because there is no mention whether the epiglottis could be lifted during direct laryngoscopy).