Paraglossal straight blade approach. Tongue control and gutter entry can be initiated from the centerline or (as pictured above) by crossing from the left to enter the right gutter (B, C, D), then advancing only to the right anterior pillar. Pharyngeal landmarks are sought by rotating the blade tip to the left (E). The blade tip is advanced under the epiglottis and lifted to expose the glottis, then the blade is moved toward the midline to displace the tongue and make room for the ET (F).
Reproduced with permission from: Orebaugh SL. Direct laryngoscopy. In: Atlas of Airway Management: Techniques and Tools, 2nd ed, Lippincott Williams & Wilkins, Philadelphia 2011. Copyright © 2011 Lippincott Williams & Wilkins.
www.lww.com.
