TY - JOUR
T1 - Endotracheal Tube Introducer for failed intubations
T2 - A variant of the gum elastic bougie
AU - Moscati, Ronald
AU - Jehle, Dietrich
AU - Christiansen, Gregory
AU - D'Aprix, Thomas
AU - Radford, John
AU - Connery, Cristine
AU - Billittier IV, Anthony
PY - 2000
Y1 - 2000
N2 - There is no universally accepted nonsurgical adjunct for management of the difficult airway in the emergency department. The gum elastic bougie is widely accepted in the British anesthesia literature. One model of endotracheal tube introducer, the Flex-Guide ET Tube Introducer (GreenField Medical Sourcing, Inc, Northborough, MA), is a less expensive plastic version of the gum elastic bougie with the same properties, available in the United States. We present 3 cases of its use in obtaining airway control in difficult airways in the ED. The bougie facilitates intubation where the cords are not visualized or neck movement is contraindicated, allows verification of correct placement before placing the endotracheal tube, is simple to use, and inexpensive to obtain. Reports of 100% first-attempt intubation success in difficult airways are published in the anesthesia literature. We advocate use of this device in the emergency department as a nonsurgical adjunct for difficult airway management.
AB - There is no universally accepted nonsurgical adjunct for management of the difficult airway in the emergency department. The gum elastic bougie is widely accepted in the British anesthesia literature. One model of endotracheal tube introducer, the Flex-Guide ET Tube Introducer (GreenField Medical Sourcing, Inc, Northborough, MA), is a less expensive plastic version of the gum elastic bougie with the same properties, available in the United States. We present 3 cases of its use in obtaining airway control in difficult airways in the ED. The bougie facilitates intubation where the cords are not visualized or neck movement is contraindicated, allows verification of correct placement before placing the endotracheal tube, is simple to use, and inexpensive to obtain. Reports of 100% first-attempt intubation success in difficult airways are published in the anesthesia literature. We advocate use of this device in the emergency department as a nonsurgical adjunct for difficult airway management.
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U2 - 10.1067/mem.2000.108582
DO - 10.1067/mem.2000.108582
M3 - Article
C2 - 10874235
AN - SCOPUS:0033894105
SN - 0196-0644
VL - 36
SP - 52
EP - 56
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 1
ER -