[Narrator:] In this video, we're going to show you an example of a resident performing a routine lightwand intubation.

One of the main teaching points about our technique

is that the clinician stands to the patient's left side in order to get a better view of the anterior neck.

Notice also that once the lightwand enters the glottic opening,

the resident takes care to maintain or to hold this position with his right hand.

This ensures that the lightwand doesn't slide back above the cords while trying to deploy the tube.

We would like to emphasize that anytime someone is learning a new technique, 

patient selection is always an important factor to one's initial success

due to the transillumination required with lightwand intubations.

We make it a point to initially teach this technique on patients weighing less than 80 kilograms.

However, once the procedure has been mastered, lightwand intubations can be performed on patients of all sizes.

Okay, now let's do a play-by-play in slow motion.

Here you can see that the resident is grasping the lightwand between his index and middle fingers.

Notice again that he stands to the patient's left and then provides anterior jaw thrust with his left hand.

The anterior jaw thrust is important because it opens a pathway for the lightwand to travel.

Although it's not evident on this video, he keeps his right arm in a rigid elbow elevated position.

He then performs a gentle lifting motion as he pulls the lightwand across his body.

Transillumination in the midline of the neck indicates glottic injury.

So he maintains this position with his right hand

and then deploys the tube with his left hand in order to complete the intubation.