This patient is with one upper incisor tooth which caused lot of difficulty in introduction of laryngoscope into the
oral cavity. The beard is the cause of difficult ventilation by mask.
The endotracheal tube was inserted through the space present between the lower canine and molar teeth.
To make mask ventilation adequate, the face was covered by a cloth with nasal and oral slits. This cloth decreased the leakage of respiratory gases through beard.
Sealing of mask with the face became better by this cloth and leakage of respiratory gases decreased.
Filled rebreathing bag with fresh and expired gases indicate the decrease in leakage and make the mask ventilation adequate
