Use of a homemade introducer guide (bougie) for intubation in emergency situation in patients who present with difficult airway: a case series

Felippe Leopoldo Dexheimer Neto; Juliana Mara Stormovski de Andrade; Ana Carolina Tabajara Raupp; Raquel da Silva Townsend; Fernanda Santos Neres; Rafael Viegas Cremonese

doi:10.1016/j.bjane.2013.06.019

Clinical Informations

Use of a homemade introducer guide (bougie) for intubation in emergency situation in patients who present with difficult airway: a case series

Emprego de guia introdutor (bougie) artesanal para intubação em situação de emergência em pacientes que se apresentam com via aérea de difícil intubação: série de casos

Felippe Leopoldo Dexheimer Neto; Juliana Mara Stormovski de Andrade; Ana Carolina Tabajara Raupp; Raquel da Silva Townsend; Fernanda Santos Neres; Rafael Viegas Cremonese

http://dx.doi.org/10.1016/j.bjane.2013.06.019 Braz J Anesthesiol, vol.66, n2, p.204-207, 2016

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Abstract

ABSTRACT BACKGROUND AND OBJECTIVES: The incidence of difficult airway reaches 10% of emergency intubations. Although few studies address the use of handmade introducer guides in emergency and intensive care environment, there are descriptions of handmade guides available on the Internet. We describe a case series on the use of a handmade introducer guide (bougie) for emergency intubation in patients with difficult airway. CASE REPORT: The handmade introducer guide was used in five consecutive patients with difficult airways, and clinical instability and in the absence of another immediate method to obtain an airway. This technique provided successful intubation and there were no complications. CONCLUSIONS: The use of the handmade introducer guide can be a useful option for the management of difficult airways.

Keywords

Endotracheal intubation, Airway management, Emergencies

Resumo

RESUMO JUSTIFICATIVA E OBJETIVOS: A incidência de via aérea difícil chega a 10% das intubações de emergência. Ainda que poucos estudos abordem o emprego de guia introdutor artesanal no ambiente de emergência e terapia intensiva, há descrições de guias produzidas de forma artesanal disponíveis na internet. Nosso objetivo é descrever uma série de casos sobre o uso de um guia introdutor (Bougie) artesanal para intubação de emergência em pacientes com Via Aérea Difícil. RELATO DE CASO: O guia introdutor artesanal foi utilizado em cinco pacientes consecutivos com via aérea difícil, instabilidade clínica e falta de outro método imediato para a obtenção de uma via aérea. Essa técnica proporcionou sucesso na intubação e não houve complicações. CONCLUSÕES: A utilização do guia introdutor artesanal pode ser uma opção útil para o manejo de via aérea difícil.

Palavras-chave

Intubação intratraqueal, Manuseio das vias aéreas, Emergências

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Use of a homemade introducer guide (bougie) for intubation in emergency situation in patients who present with difficult airway: a case series

Emprego de guia introdutor (bougie) artesanal para intubação em situação de emergência em pacientes que se apresentam com via aérea de difícil intubação: série de casos

Felippe Leopoldo Dexheimer Neto; Juliana Mara Stormovski de Andrade; Ana Carolina Tabajara Raupp; Raquel da Silva Townsend; Fernanda Santos Neres; Rafael Viegas Cremonese

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