Bullard laryngoscopy for tracheal intubation in a neonate with Pierre‐Robin syndrome

Summary In a newborn with Pierre‐Robin syndrome, repeated attempts using standard direct laryngoscopy failed to visualize the glottis or even the tip of the epiglottis. In contrast, a clear view of the glottis was seen when the Bullard fibreoptic paediatric laryngoscope was used. Tracheal intubation was facilitated by ‘rail‐roading’ the tube over a bougie which was threaded via the suction channel of the laryngoscope into the trachea. The report suggests that the Bullard fibreoptic laryngoscope can succeed to visualize the glottis in the newborn with Pierre‐Robin syndrome, whenever the glottis cannot be brought within line‐of‐sight by standard laryngoscopy.