A grossly obese patient with bull neck required immediate intubation.
Endotracheal intubation failed because visualization of the vocal cord
s was not possible. As an alternative, the Combitube(TM) was inserted
without difficulty and the patients lungs were ventilated via the Comb
itube until tracheotomy was performed on the following day. The patien
t survived and was discharged alive from the hospital 5 weeks later. T
he Combitube has gained worldwide interest and is now included in the
Guidelines of the American Heart Association and the American Society
of Anesthesiologists.