Gum elastic bougie
(GEB) has been used successfully for nasal intubation in patients where conventional intubation failed (4), and it has also been recommended that GEB guidance be used in first attempt in all cases.
For the guided technique, the drain tube of the LMA Proseal/Supreme was primed with a well lubricated gum elastic bougie
with its straight end first, leaving the 5cm bent portion protruding from the proximal end and the maximum length protruding from the distal end.
Several studies have shown that anaesthetists find this device easy to use with a high successful tracheal intubation rate, with or without the use of a gum elastic bougie
When faced with a difficult airway the gum elastic bougie
and the laryngeal mask airway (LMA) may be useful.
With a method similar to ours, some authors have used a gum elastic bougie
in combination with rigid bronchoscopy to achieve control in adults.
Different available options that have been described to facilitate PLMA insertion are the original introducer tool (2), the rotational technique (1, 15-18), the lightwand technique (19), the laryngoscope- (20) or videolaryngoscope-assisted (21) technique, the combination with stylet (22, 23), Gum Elastic Bougie
(GEB) (24-26) or introducer (27), and the gastric tube-driven insertion (28) or suction catheter-driven insertion (29).
It was connected to pediatric Ayer's T Piece circuit, reservoir bag was moving as child was breathing spontaneously, through it a pediatric gum elastic bougie
was passed on which 4.5 uncuffed ETT is railroaded.
At our hospital use of a gum elastic bougie
was the most commonly used piece of equipment to help anaesthetists manage a difficult intubation.
(12) In several of these cases, an elastic bougie
or a guidewire was passed through a bronchoscope.
In our study, we used gum elastic bougie
in 23.6% patients because it can be easily redirected towards the trachea as it has a characteristic tip or the tip can be manipulated with the use of Magill forceps.