Abstract
following failed laryngoscope-guided tracheal intubation.An obese 42-yr-old male with controlled hyperten-sion was scheduled for an inguinal hernia repair. On examination he had a predicted difficult airway (lim-ited head and neck movement, a thyromental distance < 6 cm, but good mouth opening) and refused both regional anesthesia and an awake tracheal intubation. He had no symptoms of reflux. He was premedicated with temazepam 20 mg po and metoclopramide 10 mg po and underwent an uneventful gaseous induc-tion with sevoflurane 6% in O
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