Dr Eduardo Schiffer,
Consultant Anaesthetist
A 71-year-old-man with an oesophagus carcinoma was scheduled for open thoracotomy and laparotomy. A difficult airway was anticipated due to previous neck radiotherapy, short thyromental distance, inter-incisor gap of less than 30 mm and Mallampati Grade 3.
The McGRATH® video laryngoscope gave a full view of the glottis. A double lumen tube mounted on a preformed malleable stylet was easily manoeuvred and advanced into the trachea on the first attempt. The very thin profile of the McGRATH® blade allowed sufficient room for insertion of the double lumen tube in spite of its large diameter. During this procedure oxygen saturation was maintained at 100%.