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Canadian Journal of Anesthesia 49:217 (2002)
© Canadian Anesthesiologists' Society, 2002

Correspondence

Techniques for rigid stylet use during endotracheal intubation

Michael S. Stix, MD PhD and Eduardo Mancini, MD

Burlington, MA

To the Editor:

Use of a rigid stylet deserves an articulate Special Article such as written by Dr. Stasiuk.1 We are disappointed, however, that our publication was not referenced.2 This short letter discussed rigid stylet technique and has two similar photographs of single-handed techniques mentioned by Dr. Stasiuk. We specifically discuss two alternative methods of threading the endotracheal tube (ETT) off of the stylet. We also discuss the importance of a suitable lubricant (such as lidocaine paste) for this manoeuver. Finally, it has a photograph illustrating how slight withdrawal of the rigid stylet moves the tip of the ETT anteriorly. We believe that this anterior movement of the ETT tip is what makes the rigid stylet so valuable when the glottis cannot be viewed. Anterior movement of the tip does not occur when the stylet and ETT are advanced as a unit.

References

1 Stasiuk RBP. Improving styletted oral tracheal intubation: rational use of the OTSU. Can J Anesth 2001; 48: 911–8.[Abstract/Free Full Text]

2 Stix MS, Mancini E. How a rigid stylet can make an endotracheal tube move. Anesth Analg 2000; 90: 1008.[Free Full Text]





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