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Updated: Dec 7, 2025

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
First Case Report of Intubation With a Total Control Introducer and a Hyperangulated Video Laryngoscope
Jacob Pollard1, Sean Runnels, Christine Warrick
1From the Department of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Abstract:
We describe the first use of an articulating Total Control Introducer (TCI) and video laryngoscope (VL) to guide intubation of a patient with known difficult airway. The patient was an 84-year-old woman with a Mallampati IV airway assessment, small mouth opening, limited neck extension, and micrognathia. We utilized a VL to visualize the glottis and an articulating TCI for endotracheal tube placement. Anteflexion and retroflexion of the introducer tip allowed dynamic navigation through the upper airway and into the trachea. Intubation was performed on first attempt without complications.
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