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Use of a flexible fiber-optic bronchoscope (FOB) often is recommended for intubation of patients with cervical spine injury, but many emergency departments lack this capability. In a prospective study at a single hospital in Montreal, 20 patients without C-spine abnormality who required general anesthesia underwent sequential intubation (in random order) with a FOB and a Trachlight lighted stylet. A senior anesthesiology resident who had experience with both devices performed all intubations using the designated device and a Parker Flex-Tip endotracheal tube. Continuous cinefluoroscopy was used to record C-spine movement during introduction of the device into the upper airway, insertion of the tube, and removal of the device. A respiratory …