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>Should we start a list here for everybody else's favourites? Most of my difficult views have been corrected by asking the cricoid presser to ease up a bit, or even let go. I've supervised many RSIs where the frustrated junior laryngoscopist has changed blades, head position etc. and can't see anything other than the epiglottis or even nothing at all. When I've taken over I've had the same view and the only thing left to change is the Sellick's manoeuvre, which when adjusted has resulted in a gasp-of-relief-inducing grade I view. The worry is that this is often with folks who say they know how to do it (ICU nurses, paramedics, ALS providers) but on re-evaluating their technique (after the horse has bolted) they often don't. My most 'anal' check pre-intubation now is the intended cricoid pressure technique. Cliff Reid Emergency Physician, London _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.