PT  - JOURNAL ARTICLE
AU  - X Combes
AU  - F Soupizet
AU  - P Jabre
AU  - A Margenet
AU  - J Marty
TI  - Out of hospital difficult intubation resolved with nasotracheal use of a gum elastic bougie
AID  - 10.1136/emj.2006.036038
DP  - 2006 Aug 01
TA  - Emergency Medicine Journal
PG  - e46--e46
VI  - 23
IP  - 8
4099  - http://emj.bmj.com/content/23/8/e46.short
4100  - http://emj.bmj.com/content/23/8/e46.full
SO  - Emerg Med J2006 Aug 01; 23
AB  - We report the case of a 30 year old man managed in an out of hospital setting for a cardiorespiratory arrest. The patient was impossible to intubate under direct laryngoscopy because of a severe mouth opening limitation associated with a buffalo neck. After failure of direct laryngoscopy and intubating laryngeal mask airway, an Eschmann tracheal tube introducer (gum elastic bougie) was introduced through a nostril. The bougie could be blindly inserted into the trachea, and the patient was intubated using the bougie as a guide. Tracheal intubation was then confirmed using the syringe aspiration test and end tidal carbon dioxide detection.