Wire guided fibreoptic retrograde intubation in a case of glottic mass

Management of a case of anticipated difficult airway in a patient with Moebius syndrome

“…[ 2 ] After piercing the cricothyroid membrane with an 18G Tuohy needle, a 0.035 floppy tip Terumo guidewire (Biorad Company) with a smooth flexible tip on one end, was introduced. [ 3 ] Guidewire was advanced gently and when it appeared in the mouth, was taken out through the nose with the help of a Ryle's tube inserted nasally. The flexometallic endotracheal tube was railroaded by inserting the guidewire through the Murphy's eye which facilitated easy movement of the endotracheal tube preventing abutting of the tube against the anterior wall of trachea.…”