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CASE REPORT
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
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/arwy.arwy_21_21

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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.


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