Anaesthesia · Airway Management (Difficult Airway, Intubation, Airway Devices)

Which laryngoscope incorporates a hinged distal blade tip that can be flexed by a spring-loaded lever on the handle to elevate the epiglottis?

  • A Bullard laryngoscope
  • B Polio blade
  • C Wisconsin blade
  • D McCoy laryngoscope
Correct answer: D. McCoy laryngoscope

Explanation

The McCoy laryngoscope has a lever-operated hinged tip that flexes approximately 70 degrees to lift the epiglottis, converting many grade 3 views to grade 1 or 2, especially in patients with limited neck movement. The Bullard is a rigid fibreoptic scope with no hinged tip, the Wisconsin is a straight paediatric blade, and the polio blade has an adjustable handle angle for patients in a chest shell or halo, not a flexing tip.

Reference: Morgan and Mikhail's Clinical Anesthesiology, 7th ed.

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