The bougie works.
Most studies report 10-15% increase in first pass success rates.
It’s cheap and the technique is easy to learn
There is however one big problem with the bougie, a problem it shares with other tube-over-guide techniques – the arythenoid hang-up.The space between the bougie and the tube tip becomes a ‘hook’ that snags the arythenoid.And the result will be "I can not deliver the tube" and in worst-case-scenario the whole intubation attempt is abandoned .
The fix of this common problem is in the following Image...
In this image
Retract the tube a centimetre or so.
Then turn the tube counter-clockwise 90 degrees so that the tip and the ‘hook’ is anterior and clear of the arythenoids.
Then pass the tube between the vocal cords.
Most studies report 10-15% increase in first pass success rates.
It’s cheap and the technique is easy to learn
There is however one big problem with the bougie, a problem it shares with other tube-over-guide techniques – the arythenoid hang-up.The space between the bougie and the tube tip becomes a ‘hook’ that snags the arythenoid.And the result will be "I can not deliver the tube" and in worst-case-scenario the whole intubation attempt is abandoned .
The fix of this common problem is in the following Image...
In this image
Retract the tube a centimetre or so.
Then turn the tube counter-clockwise 90 degrees so that the tip and the ‘hook’ is anterior and clear of the arythenoids.
Comments
Post a Comment