Abstract

We read with interest the clinical assessment of the GlideScope® Video Intubation System by Drs Rai, Dering and Verghese [1]. Another possible application of this device is inspection of the vocal cords following thyroidectomy. Occasionally the surgeon may ask the anaesthetist to view the patient's vocal cords in an attempt to seek reassurance that the recurrent laryngeal nerve has not been damaged during dissection [2]. This manoeuvre is not always easy in the emerging patient and the fibreoptic laryngoscope has been used for this purpose [3, 4]. After the return of spontaneous respiration and extubation of the trachea, the patient is maintained at a suitable depth of anaesthesia so that the GlideScope® can be gently inserted into the patient's mouth. This allows the larynx to be displayed on a screen and both anaesthetist and surgeon can observe whether or not the vocal cords are moving normally.

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