• Users Online: 354
  • Print this page
  • Email this page
Year : 2021  |  Volume : 4  |  Issue : 1  |  Page : 57-60

Saviour may not always be a saviour!

1 Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India
2 Department of Anesthesia and Intensive Care, GMCH-32, Chandigarh, India

Correspondence Address:
Dr. Shalvi Mahajan
Department of Anesthesia and Intensive Care, PGIMER, Chandigarh - 160 012
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/arwy.arwy_21_21

Rights and Permissions

The intubating bougie is commonly used to railroad an endotracheal tube in anticipated or unanticipated difficult intubation. However, literature regarding bougie-induced airway trauma and complications resulting from its use is scarce. We describe a case of a 47-year-old male who suffered head injury following a road traffic accident. With deterioration of his neurological status, tracheal intubation and mechanical ventilation were planned. In view of a possible difficult airway, bougie-guided intubation was attempted. Although the airway was secured at the first attempt with a bougie-guided technique, the patient developed a pneumothorax. Later fibreoptic assessment of the tracheobronchial tree revealed a rent in the posterior wall of left main stem bronchus which was managed conservatively. This case underscores the importance of being cautious while using a bougie to secure the airway and also cautions to limit the number of airway interventions to prevent complications.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded28    
    Comments [Add]    

Recommend this journal