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Rigid bronchoscope-assisted endotracheal intubation: Yet another use of the gum elastic bougie ANESTHESIA AND ANALGESIA Nekhendzy, V., Simmonds, P. K. 2004; 98 (2): 545-547

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.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.

View details for DOI 10.1213/01.ANE.0000097184.55842.C2

View details for Web of Science ID 000188438700051

View details for PubMedID 14742404