Doinel Radeanu

Tracheal intubation with the rigid tube for laryngoscopy - a new method [Retraction] Marchis IF, Radeanu D, Cosgarea M. Ther Clin RiskManage. 2019;15:309–313.The Editor-in-Chief and Publisher of Therapeutics and Clinical Risk Management wish to retract the published article.Concerns were raised to the Editor-in-Chief regarding the level of similarity between the published article and another article titled The Rigid Tube of Laryngoscopy – a New Intubation Technique by the same authors in the Proceedings of National ENT, Head and Neck Surgery Conference (17–20 May 2017, Sibiu, Romania).Following an investigation, it was found the level of similarity between the two articles was unacceptable and the authors had failed to notify Therapeutics and Clinical Risk Management of the previous publication. It was determined by the Editor-in-Chief the authors had not modified the article submitted to Therapeutics and Clinical Risk Management sufficiently enough for it to be considered new information and it was found to be aredundant publication.This retraction relates to this paper

Background: The rigid tube for laryngoscopy is an instrument used in ENT, for inspecting the larynx and its vicinity. We used it to facilitate intubation, in ENT patients. Methods: Twenty patients attending for surgery were included for study. Group 1 (n=10) had no airway pathology but at least two predictors of an anatomically difficult airway. Group 2 (n=10) had an obstructing airway pathology. After anesthesia induction, classical laryngoscopy was performed, and intubation grade registered. Using the retromolar approach the rigid tube advanced slowly, the epiglottis was lifted, and the vocal cords were visualized. The bougie was introduced through the rigid tube into the trachea, the rigid tube was extracted, and the intubating tube was placed in the trachea, over the bougie. Results: The mean (SD) maneuver duration was 59.4 (18.2) sec. The Cormack-Lehane view of the glottis at classical laryngoscopy was poor in four patients in Group 1 and six patients in Group 2. The lowest desaturation was 82%. No complications other than sore throat were noted. Conclusion: The rigid tube for laryngoscopy is a useful tool for intubation in ENT patients. We noticed an advantage against classical intubation in patients with base of tongue carcinoma, reduced mouth opening and protruding upper incisors with this instrument.