Abstract
You find yourself in a foreign land on a medical mission with plastic surgeons repairing facial deformities. As the only anesthesiologist, you are in charge of the anesthesia equipment. You are requested to anesthetize a large man (180 kg) for removal of scars from his face. His neck is over 40 cm in diameter. Unfortunately, your box with airway equipment like a fiber-optic scope, gum elastic bougies, etc. has not yet arrived. Through a translator (you don’t speak his language) you tell him them you would like to attempt an awake intubation under local anesthesia. The patient is terrified and wants to be asleep. You realize that you may need to have a gum elastic bougie as a backup. You start looking for possible ways of making a bougie from what you have available. The 18 Fr nasogastric tube would be too soft and the suction catheters you have are too short.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Manos SJ, Jaffe RA, Brock-Utne JG. An alternative to the gum elastic bougie and/or the jet stylet. Anesth Analg. 1994;79:1017.
Manos SJ, Jaffe RA, Brock-Utne JG. Airways, paper clips and nasogastric tubes. Anesth Analg. 1995;81:208–9.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Brock-Utne, J.G. (2017). Case 33: At Times You Need to Be a MacGyver. In: Clinical Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-71467-7_33
Download citation
DOI: https://doi.org/10.1007/978-3-319-71467-7_33
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71466-0
Online ISBN: 978-3-319-71467-7
eBook Packages: MedicineMedicine (R0)