Using a Disposable Flexible Fiberoptic Scope as a Bougie for Difficult Intubation

• Published in: Journal of emergencies, trauma and shock Vol. 17; no. 1; pp. 43 - 45
• Main Authors: Rabadi, Daher K, Almasarweh, Sami A, Abubaker, Ahmad K, Shawaqfeh, Nedal, Alsalman, Salem R, Madain, Zaid
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01-01-2024; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Airway management; Case Report; Case reports; Critical care; endotracheal intubation; Equipment and supplies; Fiber optics; Intubation; laryngoscopes; Laryngoscopy; rapid sequence induction and intubation; Critical care; endotracheal intubation; laryngoscopes; rapid sequence induction and intubation
• ISSN: 0974-2700; 0974-519X
• DOI: 10.4103/jets.jets_63_23

In this case report, we describe two difficult intubations in which an endotracheal tube was threaded over a fiberoptic bronchoscope that was acting as a bougie. Our patients initially presented with limited neck extension, narrow mouth opening, and restricted view of the glottic region. A fiberoptic bronchoscope was guided through while the patient was oxygenated through a laryngeal mask. After the scope provided an unrestricted view of the vocal cords, the digital module was removed by cutting the fiberoptic thread, and an endotracheal tube was passed through. After proper confirmation of the endotracheal tube position, the intubation was deemed successful and thereby, we share our experience with the novel technique. This technique may potentially improve critical patient outcomes whether in trauma or an unexpectedly difficult intubation.