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Colombian Journal of Anestesiology
Print version ISSN 0120-3347
Abstract
NAVARRO-VARGAS, José Ricardo; BECERRA-ORJUELA, Rayssa Minella and GUTIERREZ-LEON, Mario Alberto. The Bougie or "Tactile Stylet", a useful classic alternative in modern intubation. Regarding a clinical case in the Hospital Universitario Nacional de Colombia. Rev. colomb. anestesiol. [online]. 2017, vol.45, n.3, pp.262-266. ISSN 0120-3347.
Introduction:
The gum elastic bougie or Eschmann stylet is a tool designed to guide intra-tracheal intubation that is underutilised in our setting, despite scientific information confirming that it is highly useful in difficult intubation. This case report describes the clinical use of a simple and practical device that is seldom used on our setting, especially in patients with difficult airways.
Clinical findings
: The case presented is that of a 63-year-old female patient with a history of rheumatoid arthritis and diagnosed with abcesses in the elbow and gluteal region requiring surgical drainage. After the induction of general anesthesia, when laryngoscopy with a conventional laryngoscope was attempted, it was impossible to visualise any of the laryngeal structure (Cormack IV). With the help of the bougie, tracheal intubation was possible on first attempt.
Treatment:
The bougie is a highly useful tool in cases of difficult intubation in anesthesiology services and intensive or emergency care units. However, its use is still not widespread in our setting.
Conclusion:
The bougie or "tactile stylet" is a low-cost, easy-to-use device that is useful as a first choice in the management of anticipated and unanticipated difficult airways.
Keywords : Airway management; Intubation; Intubation methods; Intubation intratracheal; Anesthesia.