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This was going be a difficult intubation.
Difficult intubation, age older than 60 years, and female gender were associated with claims for perforation of the esophagus or pharynx.
These devices are widely employed for tracheal intubation, especially in the setting of the difficult intubation (see below).
A high Mallampati score (class 3 or 4) is associated with more difficult intubation as well as a higher incidence of sleep apnea.
Previous experiences with tracheal intubation, especially difficult intubation, intubation for prolonged duration (e.g., intensive care unit) or prior tracheotomy are also noted.
The Eschmann tracheal tube introducer (often incorrectly referred to as a "gum elastic bougie") is specialized type of stylet used to facilitate difficult intubation.
Biro P, Shahinian HK: Management of difficult intubation caused by lingual tonsillar hyperplasia.
A history of previous surgery (e.g., previous cervical fusion), injury, radiation therapy, or tumors involving the head, neck and upper chest can also provide clues to a potentially difficult intubation.
These gastroprokinetic effects make metoclopramide useful in the treatment of gastric stasis (for example: after gastric surgery or diabetic gastroparesis), as an aid in gastrointestinal radiographic studies by accelerating transit through the gastrointestinal system in barium studies, and as an aid in difficult intubation of the small intestine.