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[Use of a gum elastic bougie for tracheal intubation with Pentax-AWS airway scope].
Masui. 2008 Jan; 57(1):82-4.M

Abstract

Pentax-AWS laryngoscope (Pentax, Tokyo, Japan) consists of a disposable anatomically shaped blade, a 12-cm cable with a charge-coupled device (CCD) camera and a 2.4-inch liquid crystal device (LCD) color monitor display. A tracheal tube can be attached to the right side of the blade. The device may be useful in patients with difficult airways. One limitation of the device is that intubation may be difficult if it is difficult to position the glottis to the target symbol on the monitor display. We experienced such a difficulty in four patients, and the use of a gum elastic bougie enabled intubation. In a 57-year-old woman with a difficult airway, tracheal intubation using either a Macintosh laryngoscope or a fiberscope had failed. By inserting the AWS laryngoscope, the glottis was easily seen on the monitor display. Nevertheless, it was difficult to position the glottis to the target symbol, and advancing a tracheal tube collided with the tissue around the glottis. A bougie was passed through the tracheal tube, and it became possible to insert the bougie into the trachea by adjusting the angle of its tip. The tracheal tube was then easily passed over the bougie into the trachea. We successfully used the same technique in other three patients. We believe that the gum elastic bougie can be useful for tracheal intubation using the Pentax-AWS laryngoscope.

Authors+Show Affiliations

Department of Anesthesiology, Kansai Medical University, Moriguchi.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

18214009

Citation

Ueshima, Hironobu, et al. "[Use of a Gum Elastic Bougie for Tracheal Intubation With Pentax-AWS Airway Scope]." Masui. the Japanese Journal of Anesthesiology, vol. 57, no. 1, 2008, pp. 82-4.
Ueshima H, Asai T, Shingu K, et al. [Use of a gum elastic bougie for tracheal intubation with Pentax-AWS airway scope]. Masui. 2008;57(1):82-4.
Ueshima, H., Asai, T., Shingu, K., Inoue, H., Hashimoto, Y., Enomoto, Y., & Okuda, Y. (2008). [Use of a gum elastic bougie for tracheal intubation with Pentax-AWS airway scope]. Masui. the Japanese Journal of Anesthesiology, 57(1), 82-4.
Ueshima H, et al. [Use of a Gum Elastic Bougie for Tracheal Intubation With Pentax-AWS Airway Scope]. Masui. 2008;57(1):82-4. PubMed PMID: 18214009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Use of a gum elastic bougie for tracheal intubation with Pentax-AWS airway scope]. AU - Ueshima,Hironobu, AU - Asai,Takashi, AU - Shingu,Koh, AU - Inoue,Hisashi, AU - Hashimoto,Yuichi, AU - Enomoto,Yoshiro, AU - Okuda,Yasuhisa, PY - 2008/1/25/pubmed PY - 2008/3/7/medline PY - 2008/1/25/entrez SP - 82 EP - 4 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 57 IS - 1 N2 - Pentax-AWS laryngoscope (Pentax, Tokyo, Japan) consists of a disposable anatomically shaped blade, a 12-cm cable with a charge-coupled device (CCD) camera and a 2.4-inch liquid crystal device (LCD) color monitor display. A tracheal tube can be attached to the right side of the blade. The device may be useful in patients with difficult airways. One limitation of the device is that intubation may be difficult if it is difficult to position the glottis to the target symbol on the monitor display. We experienced such a difficulty in four patients, and the use of a gum elastic bougie enabled intubation. In a 57-year-old woman with a difficult airway, tracheal intubation using either a Macintosh laryngoscope or a fiberscope had failed. By inserting the AWS laryngoscope, the glottis was easily seen on the monitor display. Nevertheless, it was difficult to position the glottis to the target symbol, and advancing a tracheal tube collided with the tissue around the glottis. A bougie was passed through the tracheal tube, and it became possible to insert the bougie into the trachea by adjusting the angle of its tip. The tracheal tube was then easily passed over the bougie into the trachea. We successfully used the same technique in other three patients. We believe that the gum elastic bougie can be useful for tracheal intubation using the Pentax-AWS laryngoscope. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/18214009/[Use_of_a_gum_elastic_bougie_for_tracheal_intubation_with_Pentax_AWS_airway_scope]_ DB - PRIME DP - Unbound Medicine ER -