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Revista Española de Anestesiología y Reanimación (English Edition)
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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Use of a flexible tip bougie (FlexTip) in the management of the first-attempt fa...
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Vol. 71. Issue 1.
Pages 58-63 (January 2024)
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Vol. 71. Issue 1.
Pages 58-63 (January 2024)
Case report
Use of a flexible tip bougie (FlexTip) in the management of the first-attempt failure intubation with the C-MAC D-Blade videolaryngoscope in the intensive care unit: A prospective, case series
Uso de una guía de punta flexible (FlexTip) para manejar el fallo del primer intento de intubación con el videolaringoscopio C-MAC D-Blade en la unidad de cuidados intensivos: serie prospectiva de casos
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M. Taboadaa,
Corresponding author
manutabo@yahoo.es

Corresponding author.
, A. Cariñenaa, J. Regueiraa, C. Franciscoa, M. Rodrígueza, T. Seoane-Pilladob
a Unidad de Cuidados Intensivos de Anestesia, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
b Preventive Medicine and Public Health Unit, Department of Health Sciences, University of A Coruña-INIBIC, A Coruña, Spain
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Table 1. Demographic and clinical variables of patients intubated with the C-MAC D-blade video laryngoscope and patients rescued with the FlexTip bougie.
Table 2. Characteristics of intubation performed with the C-MAC D-blade video laryngoscope and of patients rescued with the FlexTip bougie.
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Abstract

We describe a series of 11 cases in which we used the new flexible tip (FlexTip) bougie as a rescue device following first-attempt failure at intubation with the C-MAC D-Blade video laryngoscope in our UCI. We collected data from all intubations performed using the C-MAC D-Blade video laryngoscope over a 16-month period. Ninety six patients were included in the study: 79 (86.8%) were intubated at the first attempt; 11 (12.1%) required 2 attempts; and 1 patient required 3 attempts. The Frova Intubating Introducer was used in 1 of the 12 patients requiring more than 1 intubation attempt, and the FlexTip was used in the remaining 11. This study shows that the new FlexTip bougie is a good rescue device when the first attempt at video laryngoscope intubation fails.

Keywords:
Intubation
Intensive care
Airway management
Difficult intubation
Resumen

Describimos una serie de 11 casos, donde hemos utilizado la nueva guía de punta flexible (FlexTip) como rescate tras el fallo de un primer intento de intubación con el videolaringoscopio C-MAC D-Blade en nuestra UCI. Durante un periodo de 16 meses se recogieron datos de todas las intubaciones donde se utilizó el videolaringoscopio C-MAC D-Blade. Noventa y un pacientes fueron incluidos en el estudio, donde 79 (86.8%) fueron intubados al primer intento, 11 (12.1%) necesitaron 2 intentos, y 1 paciente necesitó 3 intentos. Entre los 12 pacientes que necesitaron más de 1 intento de intubación, en un paciente se utilizó una guía “Frova”, y en el resto la nueva guía de punta flexible (FlexTip). En la presente investigación, observamos como la nueva guía de punta flexible (FlexTip) puede ser una buena opción para aquellos casos en los que con un videolaringoscopio no somos capaces de intubar en el primer intento.

Palabras clave:
Intubación
Cuidados intensivos
Manejo de la vía aérea
Intubación difícil

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