Abstract
At last I have found a routine use for the so called ‘left-handed’ Macintosh laryngoscope blade. Anaesthesia for microlaryngoscopy requires that the tracheal tube be placed to the left side of the mouth. The tongue is then pushed, often incompletely, to the right side of the oral cavity. By using a laryngoscope designed for use with the right hand, I find that the microlaryngoscopy tube starts and, more importantly, remains in the correct position. One might add that there is the added benefit of practice in the use of a laryngoscope which is normally reserved for emergency intubation. However, in 12 years of anaesthetic practice, I have yet to meet an anaesthetist who has used the ‘left-handed’ Macintosh blade other than as a prop during viva practice.
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