Difficult tracheal intubation contributes greatly to anaesthesia related morbidity and mortality. The principal adverse outcomes associated with the difficult airway include brain injury, cardiopulmonary arrest, unnecessary tracheostomy, airway trauma, damage to teeth and death8,9
The incidence of failed tracheal intubation ranges from 1 in 1000–2000 cases in the elective setting10,3.
Failed and difficult tracheal intubations are associated with oxygen desaturation (200 mm Hg), dental damage, admission to ICU, and complications during extubation. There is always a tendency for the anaesthesiologist to repeat the attempt at intubation several times, when intubation does prove difficult, perhaps