Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
, 40 (3), 279-82

Difficult Laryngoscopy Made Easy With a "BURP"

Affiliations
Case Reports

Difficult Laryngoscopy Made Easy With a "BURP"

R L Knill. Can J Anaesth.

Abstract

Displacement of the larynx by backward, upward and rightward pressure on the thyroid cartilage or "BURP" may improve visualization of the glottis in some cases of difficult direct laryngoscopy. In a patient with the Treacher-Collins syndrome in whom conventional laryngoscopy had proved impossible and tracheal intubation extremely difficult, this manoeuvre exposed the entire glottis and made tracheal intubation under direct vision easy. In a patient with protruding upper incisors and a prominent premaxilla which precluded a view of the glottis by conventional laryngoscopy, "BURP" again revealed the glottic opening and simplified the placement of an endotracheal tube. This experience suggests that "BURP" be considered as a potential aid in the management of difficult direct laryngoscopy.

Comment in

Similar articles

See all similar articles

Cited by 22 PubMed Central articles

See all "Cited by" articles

References

    1. J Thorac Cardiovasc Surg. 1979 Jul;78(1):44-51 - PubMed
    1. Anaesthesia. 1981 Feb;36(2):196-8 - PubMed
    1. Acta Anaesthesiol Scand. 1986 Jan;30(1):84-92 - PubMed
    1. Anaesthesia. 1984 Nov;39(11):1105-11 - PubMed
    1. Br J Anaesth. 1991 Jan;66(1):38-44 - PubMed

Publication types

LinkOut - more resources

Feedback