Videolaryngoscope is not a luxury, but a necessity
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ABSTRACT :
Tracheal intubation is the technique of choice for airway management. Occasionally, it may be difficult and result in severe complications including increased morbidity and even fatal outcome. Sometimes the planned surgical operation may have to be postponed. The videolaryngoscope allows a good exposure of the glottis, thus making tracheal intubation easier as compared with a conventional laryngoscope. The gadget is little found in Subsaharan Africa due to its high cost. We report our first experience of successful use of the videolaryngoscope in two cases, which had earlier required postponement of the surgery due to failed intubation.

CASE :
A 50-year-old patient was scheduled for excision of a right maxillary tumor. He had no other comorbid condition. Three weeks earlier, the patient had been scheduled for the same intervention. Consultation in pre-anesthesia clinic revealed the following indicators of difficult intubation; a Mallampati score 4, limited mouth opening of 2.5 cm and toothless jaws just sparing teeth numbers 31, 41 and 42. Thyromental distance was 6.5 cm. In the operating room, after monitoring (electrocardiograph, noninvasive blood pressure, pulse oxygen saturation) and a preoxygenation with a face mask for 3 min, anesthesia was induced with 120 mg of propofol, 30 mg of suxamethonium chloride and sufentanil........

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