Annals of Anesthesiology and Critical Care

Published by: Kowsar

Effect of Jaw Thrust and BURP Maneuvers on Glottis Visualization During C-MAC® Videolaryngoscopy

Masood Mohseni 1 , Alireza Seyed Siamdoust 1 , * , Faranak Rokhtabnak 1 , Marjan Rezghi 1 and Zahra Sadat Koleini 1
Authors Information
1 Department of Anesthesiology, Iran University of Medical Sciences, Tehran, IR Iran
Article information
  • Annals of Anesthesiology and Critical Care: June 2017, 2 (2); e14462
  • Published Online: June 30, 2017
  • Article Type: Research Article
  • Received: May 3, 2017
  • Revised: June 1, 2017
  • Accepted: June 13, 2017
  • DOI: 10.5812/aacc.14462

To Cite: Mohseni M, Seyed Siamdoust A, Rokhtabnak F, Rezghi M, Koleini Z S. Effect of Jaw Thrust and BURP Maneuvers on Glottis Visualization During C-MAC® Videolaryngoscopy, Ann Anesth Crit Care . 2017 ; 2(2):e14462. doi: 10.5812/aacc.14462.

Copyright © 2017, Annals of Anesthesiology and Critical Care. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. De Jong A, Molinari N, Conseil M, Coisel Y, Pouzeratte Y, Belafia F, et al. Video laryngoscopy versus direct laryngoscopy for orotracheal intubation in the intensive care unit: a systematic review and meta-analysis. Intensive Care Med. 2014;40(5):629-39. doi: 10.1007/s00134-014-3236-5. [PubMed: 24556912].
  • 2. Hypes CD, Stolz U, Sakles JC, Joshi RR, Natt B, Malo J, et al. Video Laryngoscopy Improves Odds of First-Attempt Success at Intubation in the Intensive Care Unit. A Propensity-matched Analysis. Ann Am Thorac Soc. 2016;13(3):382-90. doi: 10.1513/AnnalsATS.201508-505OC. [PubMed: 26653096].
  • 3. Karippacheril JG, Umesh G, Ramkumar V. Inexpensive video-laryngoscopy guided intubation using a personal computer: initial experience of a novel technique. J Clin Monit Comput. 2014;28(3):261-4. doi: 10.1007/s10877-013-9522-x. [PubMed: 24132806].
  • 4. Kory P, Guevarra K, Mathew JP, Hegde A, Mayo PH. The impact of video laryngoscopy use during urgent endotracheal intubation in the critically ill. Anesth Analg. 2013;117(1):144-9. doi: 10.1213/ANE.0b013e3182917f2a. [PubMed: 23687228].
  • 5. Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010;54(9):1050-61. doi: 10.1111/j.1399-6576.2010.02285.x. [PubMed: 20887406].
  • 6. Silverberg MJ, Li N, Acquah SO, Kory PD. Comparison of video laryngoscopy versus direct laryngoscopy during urgent endotracheal intubation: a randomized controlled trial. Crit Care Med. 2015;43(3):636-41. doi: 10.1097/CCM.0000000000000751. [PubMed: 25479112].
  • 7. Paolini JB, Donati F, Drolet P. Review article: video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management?. Can J Anaesth. 2013;60(2):184-91. doi: 10.1007/s12630-012-9859-5. [PubMed: 23233395].
  • 8. Lee DH, Han M, An JY, Jung JY, Koh Y, Lim CM, et al. Video laryngoscopy versus direct laryngoscopy for tracheal intubation during in-hospital cardiopulmonary resuscitation. Resuscitation. 2015;89:195-9. doi: 10.1016/j.resuscitation.2014.11.030. [PubMed: 25541431].
  • 9. Takahata O, Kubota M, Mamiya K, Akama Y, Nozaka T, Matsumoto H, et al. The efficacy of the "BURP" maneuver during a difficult laryngoscopy. Anesth Analg. 1997;84(2):419-21. [PubMed: 9024040].
  • 10. Umutoglu T, Gedik AH, Bakan M, Topuz U, Daskaya H, Ozturk E, et al. The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy. Braz J Anesthesiol. 2015;65(5):313-8. doi: 10.1016/j.bjane.2014.09.016. [PubMed: 26323726].
  • 11. Reber A, Bobbia SA, Hammer J, Frei FJ. Effect of airway opening manoeuvres on thoraco-abdominal asynchrony in anaesthetized children. Eur Respir J. 2001;17(6):1239-43. [PubMed: 11491171].
  • 12. Levitan RM, Kinkle WC, Levin WJ, Everett WW. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med. 2006;47(6):548-55. doi: 10.1016/j.annemergmed.2006.01.013. [PubMed: 16713784].
  • 13. Snider DD, Clarke D, Finucane BT. The "BURP" maneuver worsens the glottic view when applied in combination with cricoid pressure. Can J Anaesth. 2005;52(1):100-4. doi: 10.1007/BF03018589. [PubMed: 15625265].
  • 14. Park SO, Kim JW, Na JH, Lee KH, Lee KR, Hong DY, et al. Video laryngoscopy improves the first-attempt success in endotracheal intubation during cardiopulmonary resuscitation among novice physicians. Resuscitation. 2015;89:188-94. doi: 10.1016/j.resuscitation.2014.12.010. [PubMed: 25541427].
  • 15. Corda DM, Riutort KT, Leone AJ, Qureshi MK, Heckman MG, Brull SJ. Effect of jaw thrust and cricoid pressure maneuvers on glottic visualization during GlideScope videolaryngoscopy. J Anesth. 2012;26(3):362-8. doi: 10.1007/s00540-012-1339-0. [PubMed: 22410965].
  • 16. Walls RM, Samuels-Kalow M, Perkins A. A new maneuver for endotracheal tube insertion during difficult GlideScope intubation. J Emerg Med. 2010;39(1):86-8. doi: 10.1016/j.jemermed.2009.11.005. [PubMed: 20097502].
  • 17. Wong SY, Coskunfirat ND, Hee HI, Li JY, Chen C, Tseng CH. Factors influencing time of intubation with a lightwand device in patients without known airway abnormality. J Clin Anesth. 2004;16(5):326-31. doi: 10.1016/j.jclinane.2003.09.017. [PubMed: 15374552].
  • 18. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology. 2005;103(2):429-37. [PubMed: 16052126].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments