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Case Reports
Out of hospital difficult intubation resolved with nasotracheal use of a gum elastic bougie.
- X Combes, F Soupizet, P Jabre, A Margenet, and J Marty.
- Prehospital Emergency Department (AP-HP), Hôpital Henri Mondor, Créteil, France. xavier.combes@hmn.ap-hop-paris.fr
- Emerg Med J. 2006 Aug 1;23(8):e46.
AbstractWe report the case of a 30 year old man managed in an out of hospital setting for a cardiorespiratory arrest. The patient was impossible to intubate under direct laryngoscopy because of a severe mouth opening limitation associated with a buffalo neck. After failure of direct laryngoscopy and intubating laryngeal mask airway, an Eschmann tracheal tube introducer (gum elastic bougie) was introduced through a nostril. The bougie could be blindly inserted into the trachea, and the patient was intubated using the bougie as a guide. Tracheal intubation was then confirmed using the syringe aspiration test and end tidal carbon dioxide detection.
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