oa Southern African Journal of Anaesthesia and Analgesia - Left retromolar approach using the GlideScope® insertion : a novel technique for patients with loose or buck teeth : letter to the editor

Volume 19, Issue 4
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



Buck teeth or loose teeth are always one of the difficult laryngoscopy predictors, even if there is an adequate mouth opening. Such teeth abnormalities often pose difficulties with the airway devices or techniques that are selected to prevent further harm. We routinely follow the recommended manoeuvre described by Ron Walls for ease of endotracheal tube (ETT) insertion, while using a GlideScope®. This technique describes the insertion of the GlideScope® from the midline of the tongue to the epiglottis, and produces a Macintosh® indirect lift of the epiglottis or a Miller lift. The ETT is then inserted from the right side, with a premounted manufacturer's stylet. Even with this manoeuvre, we encountered numerous problems when introducing the GlideScope® blade in patients with loose or buck teeth.

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