Reflective intubation: A simple and effective method to improve intubation conditions by elevating the tip of the tube without additional equipment

摘要

Editor-Fortunately, the majority of tracheal intubations by means of direct laryngoscopy is easy and can be successfully managed by ordinary trained anaesthetists without requiring additional instruments or alternative methods. In the broad spectrum of intubation difficulties, from the very simple to the most difficult ones, there is a rather large proportion of cases, where we encounter mild or moderately severe problems to secure the airway. This is typically the case in Cormack and Lehane 2deg viewing conditions, which in the hands of less experienced personnel might become challenging. These moderate intubation difficulties are more frequent than the really nasty ones and usually can be overcome by rather simple means, such as altering the head position, neck extension, or both, the insertion of a malleable stylet into the tracheal tube and forming it more conveniently, or by switching to different laryngoscope blades. Other anaesthetists may resort to visually augmented equipment such as video laryngoscopes or other more or less sophisticated devices.