Title |
Difficult laryngoscopy made easy with a “BURP”
|
---|---|
Published in |
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, March 1993
|
DOI | 10.1007/bf03037041 |
Pubmed ID | |
Authors |
Richard L. Knill |
Abstract |
Displacement of the larynx by backward, upward and rightward pressure on the thyroid cartilage or "BURP" may improve visualization of the glottis in some cases of difficult direct laryngoscopy. In a patient with the Treacher-Collins syndrome in whom conventional laryngoscopy had proved impossible and tracheal intubation extremely difficult, this manoeuvre exposed the entire glottis and made tracheal intubation under direct vision easy. In a patient with protruding upper incisors and a prominent premaxilla which precluded a view of the glottis by conventional laryngoscopy, "BURP" again revealed the glottic opening and simplified the placement of an endotracheal tube. This experience suggests that "BURP" be considered as a potential aid in the management of difficult direct laryngoscopy. |
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