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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(02): 136-138
DOI: 10.1055/s-0040-1710702
Case Report

Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

Vattipalli Sameera
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
,
Konish Biswas
2   Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India
,
Girija P. Rath
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
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Abstract

Endotracheal tube (ETT) exchange is a common procedure performed in the operating room and intensive care unit for the purpose of changing damaged or soiled ETT with appropriate one. The exchange procedure is performed over an airway exchange catheter or ETT introducer (bougie). We report an event during ETT exchange over bougie wherein the introducer exited through Murphy’s eye. Here, we intend to re-emphasize the safety concerns pertaining to the use of bougie (with coude tip) as airway exchange conduit and enumerate the precautions to be taken during tube exchange.

Keywords

endotracheal tube exchange - ETT introducer (bougie) - Murphy’s eye - complications


Publication History

Article published online:
07 June 2020

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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