The technique of inverting a stylet designed for a larger ETT worked very well in this case, but we do not routinely recommend it because of the theoretical risk of having the end of the stylet advance too far into the endotracheal tube such that it becomes difficult to remove.In summary, we have used a novel supraglottic airway device, the AirQ Ò ILA, as a conduit for fiberoptic intubation in two difficult intubation scenarios. We are currently evaluating its use in pediatric patients, both as a primary supraglottic airway and as a conduit for intubation.

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