Successful Tracheal Intubation Using the Video Intubating Laryngoscope with the Aid of a Gum-elastic Bougie

DOI 8 References
  • TAKAYAMA Naomi
    Department of Intensive and Critical Care Medicine, Dokkyo University School of Medicine
  • IWASE Yoshinori
    Department of Intensive and Critical Care Medicine, Dokkyo University School of Medicine
  • MATSUSHIMA Hisao
    Department of Intensive and Critical Care Medicine, Dokkyo University School of Medicine
  • SAKIO Hideaki
    Department of Intensive and Critical Care Medicine, Dokkyo University School of Medicine

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  • ビデオ喉頭鏡とガムエラスティックブジー（ｇｕｍ‐ｅｌａｓｔｉｃ　ｂｏｕｇｉｅ）を用いた気管挿管

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  The usefulness of the video intubating laryngoscope (X-Lite Video® : RÜSCH) in combination with a gum-elastic bougie (GEB) for the tracheal intubation was evaluated by examining the video records of laryngeal view in 31 successful adult patients using GEB, retrospectively. This technique enabled intubation to the trachea uneventfully in a patient whose percentage of glottic opening (POGO) was approximately 60%. First, insufficient glottic opening was improved by elevating the epiglottis with the tip of the GEB. If a partial glottic aperture was imaged on the TV monitor, GEB was inserted into the trachea easily. Second, a video intubating laryngoscope had a wider view angle and “better” view axis than conventional laryngoscope. As a result, better laryngeal view enabled us to confirm insertion of GEB to the glottic aperture than conventional laryngoscope. Any complication due to GEB or video intubating laryngoscope was not confirmed. We conclude that a combination of video intubating laryngoscope and GEB may be efficient for the tracheal intubation in Cormack & Lehane grade 1-3 patients.

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