• Felippe Leopoldo Dexheimer Neto, de Andrade Juliana Mara Stormovski JM Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil., Ana Carolina Tabajara Raupp, da Silva Townsend Raquel R Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil., Fernanda Santos Neres, and Rafael Viegas Cremonese.
• Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil. Electronic address: fldneto@me.com.
• Braz J Anesthesiol. 2016 Mar 1; 66 (2): 204-7.

Background And ObjectivesThe 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 ReportThe 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.ConclusionsThe use of the handmade introducer guide can be a useful option for the management of difficult airways.Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

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