Radiologic-assisted endotracheal intubation.

Unlabelled: We accomplished endotracheal intubation by using fluoroscopic direction in a patient presenting a difficult airway both on the basis of a preanesthetic physical examination and on the basis of a potential for cervical cord injury associated with complicated laryngoscopy. Under topical anesthesia, a multipurpose angiographic (MPA) catheter over a Bentson wire was advanced into the trachea under intermittent C-arm fluoroscopic guidance while the occiput, cervical spine, and mandible remained in a neutral position. The endotracheal tube was then easily advanced over the MPA catheter into the trachea, where the location was documented by fluoroscopic view.