title: Use of a homemade introducer guide (bougie) for intubation in emergency situation in patients who present with difficult airway: a case series.
abstract: OBJECTIVE
  The incidence of difficult airway reaches 10% of emergency intubations. Although few studies address the use of handmade introducer guides in emergency and intensive care environment, there are descriptions of handmade guides available on the Internet. We describe a case series on the use of a handmade introducer guide (bougie) for emergency intubation in patients with difficult airway.
  
  
  METHODS
  The handmade introducer guide was used in five consecutive patients with difficult airways, and clinical instability and in the absence of another immediate method to obtain an airway. This technique provided successful intubation and there were no complications.
  
  
  CONCLUSIONS
  The use of the handmade introducer guide can be a useful option for the management of difficult airways.
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil. Electronic address: fldneto@me.com.
authors.forename: Felippe Leopoldo
authors.initials: FL
authors.lastname: Dexheimer Neto
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil.
authors.forename: Juliana Mara Stormovski
authors.initials: JM
authors.lastname: de Andrade
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil.
authors.forename: Ana Carolina Tabajara
authors.initials: AC
authors.lastname: Raupp
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil.
authors.forename: Raquel
authors.initials: R
authors.lastname: da Silva Townsend
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil.
authors.forename: Fernanda Santos
authors.initials: FS
authors.lastname: Neres
authors.affiliation: Unidade de Terapia Intensiva Adulto, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil.
authors.forename: Rafael Viegas
authors.initials: RV
authors.lastname: Cremonese
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D058109:Airway Management / Q000295:instrumentation / Q000379:methods*; D004630:Emergencies; D004867:Equipment Design; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008297:Male
keywords: Airway management; Emergencies; Emergências; Endotracheal intubation; Intubação intratraqueal; Manuseio das vias aéreas