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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.
Abstract
Keywords: Gum elastic bougie; Nasal intubation; Difficult intubation
Copyright: 2010 by the American Dental Society of Anesthesiology
Figure 1
The nasal tube should be pulled back until only the tip of the tube is visualized in the pharynx.
Figure 2
Magill forceps can be used to direct the gum elastic bougie (GEB) into the glottis.
Contributor Notes
Address correspondence to Dr Hirofumi Arisaka, Department of Anesthesiology, Kanagawa Dental College, 82 Inaoka-cho, Yokosuka, Kanagawa, 238-8580, Japan, e-mail: a-hiroumi@mpd.biglobe.ne.jp
Received: Jan 18, 2009
Accepted: Mar 11, 2010
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eISSN: 1878-7177
ISSN: 0003-3006
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