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. 2010 Fall;57(3):112-3.
doi: 10.2344/0003-3006-57.3.112.

Application of gum elastic bougie to nasal intubation

Hirofumi Arisaka  1 , Shigeki Sakuraba, Munetaka Furuya, Kazutoshi Higuchi, Hitoshi Yui, Shuya Kiyama, Kazu-Ichi Yoshida
Affiliations

Application of gum elastic bougie to nasal intubation

Hirofumi Arisaka et al. Anesth Prog. 2010 Fall.

Abstract

Gum elastic bougie (GEB), a useful device for difficult airway management, has seldom been used for nasotracheal intubation. Among 632 patients undergoing dental procedures or oral surgery, GEB was used successfully in 16 patients in whom conventional nasal intubation had failed because of anatomical problems or maldirection of the tip of the tracheal tube. We recommend that GEB should be applied from the first attempt for nasal intubation in patients with difficult airways.

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Figures

Figure 1
Figure 1
The nasal tube should be pulled back until only the tip of the tube is visualized in the pharynx.
Figure 2
Figure 2
Magill forceps can be used to direct the gum elastic bougie (GEB) into the glottis.
See this image and copyright information in PMC

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