A way of improving glottic visualisation when attempting fibreoptic intubation is for an assistant to perform a jaw thrust manoeuvre. This is nicely demonstrated in a video on the New England Journal website. However my retrieval medicine colleague and anaesthetist Dr Anthony Lewis pointed out the following situation and its solution:
What if they are a ‘difficult airway’ and you the jaw can’t move? Get your Magills forceps, grab the tongue and pull the tongue out. Very nice!