Remember the gum-elastic bougie at extubation

Robles, Beemeth; Hester, Jerome E.; Brock‐Utne, John G.

doi:10.1016/0952-8180(93)90129-3

Cited by 44 publications

(12 citation statements)

References 11 publications

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“…GEB kullanımının güvenirliliği birçok ça-lışma ve olgu sunumları ile gösterilmiştir. (8)(9)(10) Klasik olarak GEB yardımlı entübas-yon için direkt laringoskop ile epiglotun görülmesi zorunludur. Her ne kadar zor entübasyonda sık kullanılan bir yöntem olsa da konjenital anomalisi olan ve birlikte dış bası bulguları veren bir multinodüler guatrlı hastada kullanımı ilk planda düşünülmeyebilir.…”

Section: Discussionunclassified

Anaesthetic Management in a Patient with Hemangioma of Upper Lip Lying to Oral Cavity (Case Report)

Yıldırım¹,

Bayram²,

Apaydın³

et al. 2011

J Turk Anaesth Int Care

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ÖZETMultinodüler guatr nedeniyle opere olacak üst dudaktan sert ve yumuşak damağa uzanan hemanjiyomu ve sol mandibular kitlesi olan bir hastada, zor entübasyonda alternatif bir yaklaşım olarak gum elastik buji (GEB) kullanımı sunuldu. Hasta, dikkatli bir preoperatif değerlendirme sonucu zor entübasyon olarak değerlendirildi. Başarısız bir entübasyon denemesinden sonra trakea halkaları hissedilerek gum elastik buji itildi. Sonrasında da entübasyon tüpü trakeaya kolaylıkla yerleştirildi. Orofasiyal hemanjiyom gibi konjenital anomaliye bağlı zor entübasyon durumlarında gum elastik buji başarılı bir şekilde kullanılabilir.Anahtar kelimeler: Orofasiyal, hemanjiyom, guatr, entübasyon, zor hava yolu SUMMARY Anaesthetic Management in a Patient with Hemangioma of Upper Lip Lying to Oral Cavity (Case Report)We report an alternative approach to intubation which a gum elastic bougie (GEB) is used to facilitate an anticipated difficult endotracheal intubation in a patient undergoing thyroidectomy due to nodular goitre in a patient with hemangioma of upper lip lying to hard and soft palate and left mandibular mass. It was considered as difficult intubation after a careful preoperative evaluation. GEB was inserted through to the trachea with palpations tracheal cartilages after an unsuccessful try of intubation. Hereby intubation tube was easily placed to trachea. GEB can be used effectively in difficult intubation due to congenital anomalies like orofacial hemangioma.

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Section: Discussionunclassified

Anaesthetic Management in a Patient with Hemangioma of Upper Lip Lying to Oral Cavity (Case Report)

Yıldırım¹,

Bayram²,

Apaydın³

et al. 2011

J Turk Anaesth Int Care

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“…This type of device is usually inserted through the lumen of the tracheal tube and into the trachea before the tracheal tube is removed’. Accordingly, tracheal extubation of patients with a difficult airway has been performed over a fibreoptic bronchoscope, gum‐elastic bougie, and a jet stylet (2–4).…”

Section: Discussionmentioning

confidence: 99%

A technique for maintenance of airway access in infants with a difficult airway following tracheal extubation

Hammer

Funck

Rosenthal

et al. 2001

Pediatric Anesthesia

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Tracheal extubation of patients with a difficult airway represents a challenge to anaesthesiologists and intensive care physicians. While a variety of techniques designed to maintain access to the airway in case of the need for tracheal reintubation have been described in adults, no reports have been published in infants and young children. We describe an approach to this issue in a young child with severe micrognathia.

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“…El estilete se deja en la vía aérea hasta que el riesgo de extubación fallida ya no sea significativo; si es necesario reintubar, se usa el estilete como guía sobre la cual se avanza la sonda endotraqueal. Se han usado muchos dispositivos en la extubación de la vía aérea difícil, incluyendo broncoscopios, sondas nasogástricas, introductores elásticos y sondas de succión 6,15,41 . La mayoría de estos dispositivos se describieron originalmente para intercambio de la sonda endotraqueal, y muchos aún se utilizan para ese fin.…”

Section: Estrategias Para Extubar La Vía Aérea Difícilunclassified

Extubación del paciente perioperatorio con una vía aérea difícil

Hagberg¹,

Artime²

2014

Revista Colombiana de Anestesiología

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información del artículo Historia del artículo: Recibido el 2 de julio de 2013 Aceptado el 28 de mayo de 2014 On-line el 23 de julio de 2014 Palabras clave: Manejo de la vía aérea Extubación traqueal Periodo perioperatorio Intubación intraraqueal Anestesia r e s u m e nExiste un volumen importante de literatura dedicada al tema del manejo de la vía aérea difícil, y se han desarrollado una serie de algoritmos y recomendaciones para el manejo seguro de pacientes en riesgo de una intubación difícil. Sin embargo, solo recientemente se ha despertado una mayor conciencia acerca de la extubación de la vía aérea difícil, pues aun cuando sea un procedimiento programado, suele estar plagado de complicaciones. La importancia de desarrollar estrategias pre-programadas para la extubación de la vía aérea difícil a fin de aumentar la seguridad del paciente y sus desenlaces se hace evidente a partir de los datos del ASA Closed Claims Analysis y del reciente Cuarto Proyecto Nacional de Auditoría del Reino Unido sobre complicaciones mayores en el manejo de la vía aérea.La clave para un manejo exitoso de los pacientes en riesgo de extubación difícil es efectuar una evaluación precisa de riesgo, aplicar estrategias apropiadas y la preparación tanto del médico como de la institución. a b s t r a c tA considerable amount of literature has been dedicated to the topic of difficult airway management and a number of algorithms and recommendations have been established to safely manage patients at risk for difficult intubation. Only recently, however, has extubation of the difficult airway gained more awareness since this procedure, although elective, is often fraught with complications. The importance of developing pre-planned strategies for extubation of the difficult airway to improve patient safety and outcomes is apparent from data from both the ASA Closed Claims Analysis and the UK's recent Fourth * Autor para correspondencia.

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Remember the gum-elastic bougie at extubation

Cited by 44 publications

References 11 publications

Anaesthetic Management in a Patient with Hemangioma of Upper Lip Lying to Oral Cavity (Case Report)

Anaesthetic Management in a Patient with Hemangioma of Upper Lip Lying to Oral Cavity (Case Report)

A technique for maintenance of airway access in infants with a difficult airway following tracheal extubation

Extubación del paciente perioperatorio con una vía aérea difícil

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