The Bougie or “Tactile Stylet” | 合法醫療器材資訊網

Withthehelpofthebougie,trachealintubationwaspossibleonfirstattempt....bougieversusstyletreinforcedendotrachealtubeinsertiontechniques.

63-Year-old female patient, 49kg with an history of rheumatoid arthritis and osteoporosis, receiving multiple disease-modifying treatments, corticoids and biological medications. During a follow-up visit in rheumatology, a radiography of the cervical spine revealed evidence of subluxation of C1–C2 and C2–C3. Fig. 1[1] The patient presented with a clinical picture of chronic osteomyelitis of the elbows and pelvis that required a surgical procedure consisting of surgical cleaning and debridement of the left elbow and drainage of the gluteal abscess.

Significant findings during the pre-anesthetic assessment included limited oral opening (2.5cm), a thyromental distance of 5cm, severe limitation of cervical extension, and two unstable dental structures. The patient was haemodyna...