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, 98 (2), 545-7, table of contents

Rigid Bronchoscope-Assisted Endotracheal Intubation: Yet Another Use of the Gum Elastic Bougie

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Case Reports

Rigid Bronchoscope-Assisted Endotracheal Intubation: Yet Another Use of the Gum Elastic Bougie

Vladimir Nekhendzy et al. Anesth Analg.

Abstract

We describe a technique by which a gum elastic bougie (GEB) is used to facilitate an anticipated difficult endotracheal intubation in a patient undergoing rigid bronchoscopy. After placing the GEB through the lumen of the rigid bronchoscope, the GEB-suction catheter assembly was used to safely withdraw the bronchoscope in a manner mimicking the withdrawal of an intubating laryngeal mask airway (LMA) over the endotracheal tube using a stabilizer rod. The rationale for management and potential advantages of this approach versus use of an airway exchange catheter (including increased stability of an intubation guide) are discussed.

Implications: We describe a technique of using a gum elastic bougie to facilitate an endotracheal intubation in a patient undergoing rigid bronchoscopy, which can be useful in a variety of clinical situations when the rigid bronchoscope is used in patients with abnormal airway.

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