A Macintosh laryngoscope was modified to allow a rigid fibreoptic scope to be attached. Our purpose was to determine if Cormack and Lehane scores could be improved using the described fibreoptic technique, thus allowing easier intubating conditions. In order to assess its value for intubation, a study was performed on 53 patients. Thirty-three of these patients were classified to be difficult intubations (suspected or unanticipated). The Cormack and Lehane scores were improved by the use of the modified laryngoscope by one to three grades compared to the standard laryngoscopy. Significantly improved intubating condition were observed. The assessment demonstrates that many patients with Mallampati scores of III and IV can be successfully managed by this technique.
Anaesthesia, because it does not treat disease, must be as safe as possible. I Monitoring plays an important role in enhancing safety; however, the increased availability of monitoring equipment requires anaesthetists to consider what the monitoring requirements are in any given situation, In the USA, the minimum standards were derived in part from 'the actual daily practice' at nine Harvard-affiliated hospitals, 2 This study was carried out to document the daily practice at the Princess Alexandra Hospital, Brisbane, over a three-year period; the monitoring being used in patients who had intraoperative cardiac arrests was also studied in case information could be obtained which might prevent future problems of a similar nature,
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