ABSTRACT

The mouth is held open with the non-dominant hand. The laryngoscope is gently inserted and the tongue followed until the oropharynx is reached, with any secretions suctioned.

The endotracheal tube acts as a guide and can be followed directly to the larynx. Inspect the lingual and laryngeal surfaces of the epiglottis and the remainder to the supraglottis including the arytenoids. Once the vocal cords including the anterior commissure, are visible, the laryngoscope handle can be attached and the suspension arm fixed to the handle to support the laryngoscope when microlaryngoscopy is required. An anterior commissure laryngoscope which has a narrower cross-sectional profile, may

be required to allow assessment of the anterior commissure.