Vol 8 | Issue 1 | January-April 2022 | Page: 12-13 | Dhwani Sanjiv Walavalkar, Disha Kapadia, Nirav M. Kotak, Rajendra D. Patel
Author: Dhwani Sanjiv Walavalkar , Disha Kapadia , Nirav M. Kotak , Rajendra D. Patel 
 Department of Anaesthesiology and Critical Care, Seth GSMC and KEM hospital, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Dhwani Sanjiv Walavalkar,
Department of Anaesthesiology and Critical Care, Seth GSMC and KEM hospital, Mumbai, Maharashtra, India.
Rheumatoid Arthritis is a chronic systemic disease affecting various systems. For the anaesthesiologist, out of all the organ system involved, the airway involvement presents a unique challenge. In such cases of anticipated difficult airway, all the conventional instruments in the difficult airway armamentarium must be employed. In the case we present, the instruments available to us failed to provide a sufficient glottic view required for tracheal intubation. An unconventional manoeuvre of Backward Upward Leftward Pressure (BULP) was attempted which resulted in a well centralized view of the lateralized vocal cords.
Keywords: Rheumatoid Arthritis, Difficult Airway, Airtraq, Truview laryngoscope, BULP
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|How to Cite this Article: Walavalkar DS, Kapadia D, Kotak NM, Patel RD | BULP: Conventional Difficult Airway Instruments Using Unconventional Manoeuvre in Patient with Rheumatoid Arthritis | Journal of Anaesthesia and Critical Care Case Reports | January-April 2022; 8(3): 12-13.