Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942009000500012
Brazilian Journal of Anesthesiology
Miscellaneous

Bougie

Bougie

Leonardo de Andrade Reis; Guilherme Frederico Ferreira dos Reis; Milton Roberto Marchi de Oliveira; Leandro El Bredy Ingarano

Downloads: 0
Views: 826

Resumo

JUSTIFICATIVA E OBJETIVOS: As situações de via aérea difícil expõem o anestesiologista à necessidade de rápida atuação, muitas vezes necessitando de dispositivos complementares para garantir a permeabilidade destas vias. Porém muitos destes dispositivos são dispendiosos e necessitam treinamento para seu emprego. É apresentado aqui dispositivo simples, descartável e que pode ser confeccionado pelo próprio anestesiologista, tornando-o ferramenta de baixo custo: o bougie. CONTEÚDO: O bougie consiste de introdutor que, inserido na traquéia, ajuda a orientar a introdução da cânula traqueal. Por ser ferramenta simples, de fácil manipulação e de baixo custo, mostra-se extremamente útil nas situações de via aérea difícil inesperada. CONCLUSÕES: O bougie mostrou-se uma valiosa ferramenta no arsenal anestesiológico, estando bem indicado num amplo espectro de situações.

Palavras-chave

ANESTESIA, Geral, INTUBAÇÃO, Traqueal

Abstract

BACKGROUND AND OBJECTIVES: Difficult airways require fast action by the anesthesiologist often requiring complementary devices to ensure patent airways. However, several of those devices are expensive and require training in order to be used. The bougie, a simple and disposable device can also be manufactured by the anesthesiologist, making it a low cost tool. CONTENTS: Bougies are composed of one introducer that when inserted in the trachea helps orienting the introduction of the tracheal tube. It is a simple tool, easy to use, low in cost, and has been shown to be very useful in unexpected difficult airways. CONCLUSIONS: The bougie has shown to be a valuable tool in the armamentarium of the anesthesiologist, and it is indicated in a wide range of situations.

Keywords

ANESTHESIA, General, INTUBATION, Tracheal

References

Latto IP, Stacey M, Mecklenburgh J. Survey of the gum elastic bougie in clinical practice. Anaesthesia. 2002;57:379-384.

Hames KC, Pandit JJ, Marfin AG. Use of the bougie in simulated difficult intubation: 1. Comparison of the single-use bougie with the fibrescope. Anaesthesia. 2003;58:846-851.

Gataure PS, Vaughan RS, Latto IP. Simulated difficult intubation: comparison of the gum elastic bougie and the stylet. Anaesthesia. 1996;51:935-938.

Per l'intubazione difficile e la difficolta' di controllo delle vie aeree. 1998.

Braun U, Goldmann K, Hempel V. Practice guideline: airway management. Anästh Intensivmed. 2004;45:302-306.

Henderson JJ, Popat MT, Latto IP. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaestesia. 2004;59:675-694.

Henderson JJ. Development of the "gum elastic bougie". Anaesthesia. 2003;58:103-104.

Macintosh RR. An aid to oral intubation. BMJ. 1949;1.

El-Orbany MI, Salem MR, Joseph NJ. The Eschmann tracheal tube introducer is not gum, elastic, or a bougie. Anesthesiology. 2004;101.

Cupitt JM. Microbial contamination of gum elastic bougies. Anaesthesia. 2000;55:466-468.

Latto P. Fracture of the outer varnish layer of a gum elastic bougie. Anaesthesia. 1999;54:497-498.

Morton G, Chileshe B, Baxter P. Gum elastic bougie in the hole technique. Anaesthesia. 2002;57:1037-1038.

Weisenberg M, Warters RD, Medalion B. Endotracheal intubation with a gum-elastic bougie in unanticipated difficult direct laryngoscopy: a comparison of a blind technique versus indirect laryngoscopy with a laryngeal mirror. Anesth Analg. 2002;95:1090-1093.

Orelup CM, Mort T. Airway rescue with the bougie in the difficult emergent airway. Crit Care Med. 2004;32:A118.

Nekhendzy V, Simmonds PK. Rigid bronchoscope-assisted endotracheal intubation: yet another use of the gum elastic bougie. Anesth Analg. 2004;98:545-547.

Baraka A. Gum elastic bougie for difficult double-lumen intubation. Anaesthesia. 1997;52.

Weller RM. Gum elastic bougie for difficult double-lumen intubation. Anaesthesia. 1998;53.

Gajraj NM. Tracheal intubation through the laryngeal mask using a gum elastic bougie. Anaesthesia. 1996;51.

Lopez-Gil M, Brimacombe J, Barragan L. Bougie-guided insertion of the ProSeal tm laryngeal mask airway has a higher first attempt success rate than the digital technique in children. Br J Anaesth. 2006;96:238-241.

Evans A, Morris S, Petterson J. A comparison of Seeing Optical Stylet and the gum elastic bougie in simulated difficult intubation: a manikin study. Anaesthesia. 2006;61:478-481.

Hammarskjöld F, Lindskog G, Blomqvist P. An alternative method to intubate with laryngeal mask and see-through-bougie. Acta Anaesthesiol Scand. 1999;43:634-636.

Dagg LE, Jefferson P, Ball DR. "Hold up" and the gum elastic bougie. Anaesthesia. 2003;58.

McNelis U, Syndercombe A, Harper I. The effect of cricoid pressure on intubation facilitated by the gum elastic bougie. Anaesthesia. 2007;62:456-459.

Hodzovic I, Wilkes AR, Latto IP. Bougie: assisted difficult airway management in a manikin - the effect of position held on placement and force exerted by the tip. Anaesthesia. 2004;59:38-43.

Brimacombe J, Howath A, Keller C. A more "failsafe" approach to difficult intubation with the gum elastic bougie. Anaesthesia. 2002;57.

Murdoch JAC. Emergency tracheal intubation using a gum elastic bougie through a laryngeal mask airway. Anaesthesia. 2005;60:626-627.

Sarma J. Intubating using an LMA and gum elastic bougie. Anesth Analg. 2006;102.

Gardner M, Janokwski S. Detachment of the tip of a gum-elastic bougie. Anaesthesia. 2002;57:88-89.

Robbins PM, Hack H. Critical incident with gum elastic bougie. Anaesth Intensive Care. 1995;23.

Prabhu A, Pradhan P, Sanaka R. Bougie trauma: it is still possible. Anaesthesia. 2003;58:811-813.

Heidemann BH, Clark VA. Tracheal trauma secondary to the use of a Portex single-use bougie. Anaesthesia. 2004;59:1043-1044.

Kadry M, Popat M. Pharyngeal wall perforation: an unusual complication of blind intubation with a gum elastic bougie. Anaesthesia. 1999;54:404-405.

Hodzovic I, Latto IP, Henderson JJ. Bougie trauma: what trauma?. Anaesthesia. 2003;58:192-193.

Lima LG, Bishop MJ. Lung laceration after tracheal extubation over a plastic tube changer. Anesth Analg. 1991;73:350-351.

Marfin AG, Pandit JJ, Hames KC. Use of the bougie in simulated difficult intubation: 2. Comparison of single-use bougie with multiple-use bougie. Anaesthesia. 2003;58:852-855.

Annamaneni R, Hodzovic I, Wilkes AR. Comparison of simulated difficult intubation with multiple-use and singe-use bougies in manikin. Anaesthesia. 2003;58:45-49.

5dd675ad0e88250715c8fca7 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections