Difficult intubation

If a difficult intubation is predicted, it should not be attempted by an inexperienced operator. Difficulty may be predicted in the patient with a small mouth, high arched palate, large upper incisors, hypognathia, large tongue, anterior larynx, short neck, immobile temporo-mandibular joints, immobile cervical joints or morbid obesity. If a difficult intubation presents unexpectedly, the use of a stylet, a straight bladed laryngoscope or a fibreoptic laryngoscope may help. It is important not to persist for too long; revert to bag and mask ventilation to ensure adequate oxygenation.

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