Successful intubation with Macintosh laryngoscope after failed intubation with McGrath videolaryngoscope in post burn contracture of the neck

Abstract

A 29 year old woman, a case of post burn contracture of the neck came for the release. McGrath video laryngoscope was chosen as the initial tool for airway management. Despite an excellent view, intubation failed due to lack of working airway space available after use of video laryngoscope. Successful intubation was achieved with Macintosh laryngoscope although the laryngoscopy view was Cormack and Lehane grade IIIa and percentage of glottic opening score was 25%. More research into the predictors of difficult laryngoscopy or intubation with the video laryngoscope needs to be done before recommending these devices for use in difficult airway scenarios.