Use of a gum elastic bougie in a cat with severe upper airway stenosis

Background: Gum elastic bougie (GEB) is an airway management device for patients who are difficult to intubate and their use has been reported in human medicine. However, to our knowledge, no reports in veterinary medicine have described oxygenation using GEB. We describe a case in which GEB was use...

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Main Authors: Keiko Kato, Takaharu Itami, Shidow Torisu, Toshikazu Sakai, Kazuto Yamashita
Format: Article
Language:English
Published: Tripoli University 2023-02-01
Series:Open Veterinary Journal
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=56656
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author Keiko Kato
Takaharu Itami
Shidow Torisu
Toshikazu Sakai
Kazuto Yamashita
author_facet Keiko Kato
Takaharu Itami
Shidow Torisu
Toshikazu Sakai
Kazuto Yamashita
author_sort Keiko Kato
collection DOAJ
description Background: Gum elastic bougie (GEB) is an airway management device for patients who are difficult to intubate and their use has been reported in human medicine. However, to our knowledge, no reports in veterinary medicine have described oxygenation using GEB. We describe a case in which GEB was used to maintain oxygenation in a cat with severe upper airway stenosis. Case Description: A 10-year-old neutered male domestic shorthair cat was diagnosed with a laryngeal tumour with severe upper airway stenosis. During anaesthesia induction, normal laryngeal structure could not be confirmed; orotracheal intubation was difficult, resulting in a "cannot intubate, cannot oxygenate" status. The GEB was inserted, making it possible to oxygenate the cat until a permanent tracheostoma could be created, but hypoventilation was noted. Conclusion: Although gum elastic bougies are not useful for proper ventilation, they can be useful for temporary oxygenation in veterinary medicine when airway management is difficult. [Open Vet J 2023; 13(1.000): 114-118]
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spelling doaj.art-1ee185345b8c4d54a5104da1a4595c7d2023-01-29T17:41:57ZengTripoli UniversityOpen Veterinary Journal2226-44852023-02-0113111411810.5455/OVJ.2023.v13.i1.1256656Use of a gum elastic bougie in a cat with severe upper airway stenosisKeiko Kato0Takaharu Itami1Shidow Torisu2Toshikazu Sakai3Kazuto Yamashita4582, Bunkyodai-Midorimachi, Ebetsu, Hokkaido 069-8501, Japan 582, Bunkyodai-Midorimachi, Ebetsu, Hokkaido 069-8501, Japan 582, Bunkyodai-Midorimachi, Ebetsu, Hokkaido 069-8501, Japan 582, Bunkyodai-Midorimachi, Ebetsu, Hokkaido 069-8501, Japan 582, Bunkyodai-Midorimachi, Ebetsu, Hokkaido 069-8501, JapanBackground: Gum elastic bougie (GEB) is an airway management device for patients who are difficult to intubate and their use has been reported in human medicine. However, to our knowledge, no reports in veterinary medicine have described oxygenation using GEB. We describe a case in which GEB was used to maintain oxygenation in a cat with severe upper airway stenosis. Case Description: A 10-year-old neutered male domestic shorthair cat was diagnosed with a laryngeal tumour with severe upper airway stenosis. During anaesthesia induction, normal laryngeal structure could not be confirmed; orotracheal intubation was difficult, resulting in a "cannot intubate, cannot oxygenate" status. The GEB was inserted, making it possible to oxygenate the cat until a permanent tracheostoma could be created, but hypoventilation was noted. Conclusion: Although gum elastic bougies are not useful for proper ventilation, they can be useful for temporary oxygenation in veterinary medicine when airway management is difficult. [Open Vet J 2023; 13(1.000): 114-118]http://www.ejmanager.com/fulltextpdf.php?mno=56656catgum elastic bougieoxygenationtumourupper airway stenosis
spellingShingle Keiko Kato
Takaharu Itami
Shidow Torisu
Toshikazu Sakai
Kazuto Yamashita
Use of a gum elastic bougie in a cat with severe upper airway stenosis
Open Veterinary Journal
cat
gum elastic bougie
oxygenation
tumour
upper airway stenosis
title Use of a gum elastic bougie in a cat with severe upper airway stenosis
title_full Use of a gum elastic bougie in a cat with severe upper airway stenosis
title_fullStr Use of a gum elastic bougie in a cat with severe upper airway stenosis
title_full_unstemmed Use of a gum elastic bougie in a cat with severe upper airway stenosis
title_short Use of a gum elastic bougie in a cat with severe upper airway stenosis
title_sort use of a gum elastic bougie in a cat with severe upper airway stenosis
topic cat
gum elastic bougie
oxygenation
tumour
upper airway stenosis
url http://www.ejmanager.com/fulltextpdf.php?mno=56656
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AT kazutoyamashita useofagumelasticbougieinacatwithsevereupperairwaystenosis