Anesth Analg 2008; 107:603-604
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e318176fe36
PATIENT SAFETY
Intubation Bougie Dissection of Tracheal Mucosa and Intratracheal Airway Obstruction
George A. Arndt, MD,
Adam J. Cambray, MD, and
Jon Tomasson, MD
From the Department of Anesthesiology, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin.
Address correspondence and reprint requests to George A. Arndt, MD, Department of Anesthesiology, B6/319 Clinical Science Center, 600 Highland Ave., Madison, WI 53792-3272. Address e-mail to gaarndt{at}facstaff.wisc.edu.
Abstract
Intubation bougies are commonly used to aid in intubation when an optimal view of the larynx is not obtained. We describe a case of tracheal perforation using a disposable intubation bougie resulting in a complete intratracheal airway obstruction relieved by cricothyrotomy. Disposable intubation bougies may have mechanical properties that differ from their nondisposable counterparts making complications more likely.
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