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Canadian Journal of Anesthesia, Vol 30, 191-193, Copyright © 1983 by Canadian Anesthesiologists' Society

Confirming Tracheal Intubation -- a Simple Manoeuvre

R.W. J. FORD BSC MD PHD FRCP(C)1

1 Department of Anaesthesia, Shaughnessy Hospital and University of British Columbia

Address Correspondence to: Dr. R.W.J. Ford, Department of Anaesthesia, Shaughnessy Hospital, 4500 Oak Street, Vancouver, B.C., V6H 3N1.

A simple technique is described for confirming oral tracheal intubation carried out under direct laryngoscopy. With the laryngoscope blade still in the mouth following intubation, posterior displacement of the tracheal tube towards the palate will usually bring the tube and vocal cords into direct view, providing confirmation of correct tube placement. In 50 consecutive oral tracheal intubations, the tube was seen to pass between the vocal cords in 29 cases, confirming correct tube placement. In theremaining 21 cases, the larynx was obscured during intubation. Posterior displacement of the tube confirmed correct placement in all 21 cases.

Key Words: ANAESTHETIC TECHNIQUES: intubation • COMPLICATIONS: oesophageal intubation






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Copyright © 1983 by the Canadian Anesthesiologists' Society.