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Revisiting a case of difficult airway with a rigid laryngoscope
  1. Poonam Pai BH and
  2. Ali N Shariat
  1. Department of Anesthesia, Mount Sinai West- St Luke’s Hospital, New York, NY, USA
  1. Correspondence to Dr Poonam Pai BH, alishariatmd{at}


A cook airway exchange catheter is a long hollow and semirigid catheter which is routinely used for endotracheal tube (ETT) exchange in the intensive care unit setting or even in the operating room in an event of unexpected difficult airway. We describe a novel technique of using an ETT exchanger with the help of a rigid laryngoscope to facilitate intubation as a strategy in a patient with an anticipated difficult airway due to laryngeal cancer presenting as stridor with respiratory distress.

  • anaesthesia
  • cancer-see oncology
  • cancer intervention
  • ear, nose and throat
  • head and neck cancer
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  • Contributors Both authors were involved in direct patient care, planning, conduct, reporting, conception, writing and editing the manuscript. They approve the final approval of the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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