scholarly journals A two-bougie technique for safer oro- to nasotracheal tube exchange in a difficult airway

Anaesthesia ◽  
2010 ◽  
Vol 65 (12) ◽  
pp. 1231-1232 ◽  
Author(s):  
A. Wadehra ◽  
M. S. Tandon ◽  
P. Ganjoo
2020 ◽  
Vol 67 (3) ◽  
pp. 174-176
Author(s):  
Yuko Koyanagi ◽  
Eiko Yokota ◽  
Marina Iwata ◽  
Ritsuko Shimazaki ◽  
Toru Misaki ◽  
...  

A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. The removed endotracheal tube was torn 19 cm from the distal tip. The McGrath MAC was useful for visualizing the glottis and confirming the entire course of the tube exchange despite the patient's having a difficult airway (Cormack-Lehane grade 3).


2019 ◽  
Vol 7 (1) ◽  
pp. 22-25 ◽  
Author(s):  
T. G. Saunders ◽  
M. L. Gibbins ◽  
C. A. Seller ◽  
F. E. Kelly ◽  
T. M. Cook

2002 ◽  
Vol 97 (5) ◽  
pp. 1324-1325 ◽  
Author(s):  
Amitabh Dutta ◽  
Pramila Chari ◽  
Ram A. Mohan ◽  
Yogesh Manhas

2020 ◽  
Vol 30 ◽  
pp. e10
Author(s):  
Thomas George Saunders ◽  
Matthew Llewelyn Gibbins ◽  
Fiona Elizabeth Kelly ◽  
Christopher Adrian Seller ◽  
Timothy Mark Cook

2012 ◽  
Vol 59 (2) ◽  
pp. 85-86 ◽  
Author(s):  
Rasjesh Mahajan ◽  
Parvaiz Ahmed ◽  
Firdose Shafi ◽  
Rishab Bassi

We read with great interest the anesthetic technique of using a gum elastic bougie (GEB) for nasal intubation in a recent issue of Anesthesia Progress. The authors recommend the use of GEB for the first attempt of nasotracheal intubation in patients with a difficult airway. We agree that this is an excellent alternative. We also have found an excellent variation of this method that utilizes a double bougie technique for insertion of a nasotracheal tube if the difficult airway can be secured initially with an orotracheal tube.


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