This is an extension of the concept of the introduce. A long piece of elastic material which is semi-rigid can be directed into the trachea when it is impossible to achieve direct incubation because of an inability to see the cords or because of difficulty in directing the end o tracheal tube between the cords.
TECHNIQUE
- Under direct vision using the arthroscope the Boogie is passed between the cords as to where the cords are estimated to be.
- An appropriate sized interracial tube is then passed over the Boogie and into the trachea using the Boogie to guide the tube
- If the tube appears to catch at the cords its advancement may be facilitated by twisting the tube through 180 degrees.
- The Biggie is then removed, leaving the tube in place.
COMPLICATIONS
- Failed incubation
- Trauma to the airway
- Esophageal incubation
ADVANTAGES
- Technically simple
- Avoids surgical procedures
DISADVANTAGES
Can be awkward, particularly if interracial tube gets snagged at the cords.
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