The 'jaw thrust' maneuver rather than the 'BURP' maneuver improves the glottic view for Pentax-AWS assisted tracheal intubation in a patient with a laryngeal aperture.

摘要

The Pentax Airway Scope (AWS) videolaryngoscope (Hoya, Co., Tokyo, Japan) provides a wide view of the glottis and the tube guidance channel by elevating the epiglottis. Visualizing the glottic opening aids in achieving successful tracheal intubation; however, occasionally we have experienced difficulty in visualizing the glottic opening because the epiglottis could not be elevated due to its close proximity to the posterior wall of the pharynx. Using the Macintosh laryngoscopy, the BURP (backward, upward, and right-sided pressure on the thyroid and cricoid cartilages) and/or jaw thrust maneuvers can facilitate viewing the glottis by elongating the distance between the epiglottis and pharyngeal posterior wall. Herein, we describe the successful use of the jaw thrust maneuver rather than the BURP maneuver for Pentax-AWS assisted tracheal intubation in a patient with a laryngeal aperture.