The Bougie or "Tactile Stylet", a useful classic alternative in modern intubation. Regarding a clinical case in the Hospital Universitario Nacional de Colombia

  • José Ricardo Navarro-Vargas a. Hospital Universitario Nacional de Colombia, Universidad Nacional de Colombia, Bogotá D.C., Colombia. b. Universidad Nacional de Colombia, Faculty of Medicine, Bogotá D.C., Colombia. c. Specialized Anesthesiology Unit, Surgery Department, School of Medicine, Universidad Nacional de Colombia, Bogotá D.C., Colombia. e. Clínica Piloto, Profamilia, Bogotá D.C., Colombia.
  • Rayssa Minella Becerra-Orjuela a. Hospital Universitario Nacional de Colombia, Universidad Nacional de Colombia, Bogotá D.C., Colombia. b. Universidad Nacional de Colombia, Faculty of Medicine, Bogotá D.C., Colombia. c. Specialized Anesthesiology Unit, Surgery Department, School of Medicine, Universidad Nacional de Colombia, Bogotá D.C., Colombia.
  • Mario Alberto Gutiérrez-León a. Clínica del Country, Bogotá D.C., Colombia. b. Clínica Piloto, Profamilia, Bogotá D.C., Colombia
Keywords: Airway management, Intubation, Intubation methods, Intubation intratracheal, Anesthesia

Abstract

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.

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How to Cite
1.
Navarro-Vargas JR, Becerra-Orjuela RM, Gutiérrez-León MA. The Bougie or "Tactile Stylet", a useful classic alternative in modern intubation. Regarding a clinical case in the Hospital Universitario Nacional de Colombia. Colomb. J. Anesthesiol. [Internet]. 2017Jul.1 [cited 2021Jun.24];45(3):262–266. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/680

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Published
2017-07-01
How to Cite
1.
Navarro-Vargas JR, Becerra-Orjuela RM, Gutiérrez-León MA. The Bougie or "Tactile Stylet", a useful classic alternative in modern intubation. Regarding a clinical case in the Hospital Universitario Nacional de Colombia. Colomb. J. Anesthesiol. [Internet]. 2017Jul.1 [cited 2021Jun.24];45(3):262–266. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/680
Section
Case Report / Case Series

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