Gum elastic bougie, capnography and apnoeic oxygenation.

Abstract:

BACKGROUND AND AIM:This study assessed the accuracy of using capnography with a modified, hollow gum elastic bougie in predicting tracheal intubation, and its effectiveness as a method of apnoeic oxygenation. METHODS:Patients were randomly allocated to having the gum elastic bougie inserted, under anaesthesia, in the trachea or the oesophagus. End-tidal carbon dioxide measurements were made at 10 and 20 s. The position of the gum elastic bougie was correctly predicted in 89.2% of patients. We tested the apnoeic oxygenation on an anaesthetic simulator model, which is housed in the Scottish Anaesthesia Simulator Centre, Stirling, UK. RESULTS:The time taken for the oxygen saturation to fall to 90% was significantly prolonged when the gum elastic bougie was used for apnoeic oxygenation. CONCLUSION:The modification of the gum elastic bougie allows a more objective assessment of correct placement than the previous tactile method. The current design of bougie is unsuitable but can be modified.

journal_name

Eur J Anaesthesiol

authors

Millar FA,Hutchison GL,Glavin R

doi

10.1046/j.0265-0215.2000.00774.x

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

51-3

issue

1

eissn

0265-0215

issn

1365-2346

journal_volume

18

pub_type

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