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Related Experiment Videos

Difficult laryngoscopy made easy with a "BURP"

R L Knill1

  • 1Department of Anaesthesia, University Hospital, University of Western Ontario, London, Canada.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|March 1, 1993
PubMed
Summary
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The Backward, Upward, Rightward Pressure (BURP) maneuver can improve glottic visualization during difficult laryngoscopy. This technique aids in tracheal intubation for patients with challenging airway anatomy.

Area of Science:

  • Anesthesiology
  • Airway Management

Background:

  • Direct laryngoscopy is crucial for tracheal intubation.
  • Difficult laryngoscopy presents challenges in visualizing the glottis.

Observation:

  • The Backward, Upward, Rightward Pressure (BURP) maneuver involves applying pressure to the thyroid cartilage.
  • This technique was applied in two cases of difficult direct laryngoscopy.

Findings:

  • BURP improved glottic visualization in patients with Treacher-Collins syndrome and those with prominent dental/maxillary structures.
  • The maneuver facilitated direct-vision tracheal intubation in both cases.

Implications:

  • The BURP maneuver is a valuable tool for managing difficult direct laryngoscopy.

Related Experiment Videos

  • Consideration of BURP can simplify airway management and improve patient outcomes.