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Case Reports
. 2006 Aug;23(8):e46.
doi: 10.1136/emj.2006.036038.

Out of hospital difficult intubation resolved with nasotracheal use of a gum elastic bougie

X Combes  1 , F Soupizet, P Jabre, A Margenet, J Marty
Affiliations
Case Reports

Out of hospital difficult intubation resolved with nasotracheal use of a gum elastic bougie

X Combes et al. Emerg Med J. 2006 Aug.

Abstract

We 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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Conflict of interest statement

Competing interests: there are no competing interests

References

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