Bougie assisted left molar approach to laryngoscopy after failed intubation with Bonfils intubation fiberscope in a patient with anticipated difficult airway

Management of Difficult airway (DA) remains a challenge for the anesthetists globally. Recent literature recommends numerous devices like various supraglottic devices, fiberoptic bronchoscopes, video laryngoscopes, etc. Most of us are inclined to use advanced intubation gadgets in a scenario of difficult intubation. But these may have limitations like non-availability, unfamiliarity, time taken to assemble them etc. Present case report highlights the importance of a simple technique of bougie assisted left molar approach to direct laryngoscopy with OELM in a DA scenario where an advanced gadget like Bonfils intubation fiberscope could not help in securing the airway.