The Parker Flex-Tip tube is useful in a bougie-assisted endotracheal tube exchange after lung lavage.

摘要

In difficult intubation cases, a bougie is available for exchanging the endotracheal tube (ETT).1 When using a bougie, we have occasionally experienced difficulty in advancing the ETT, with its tip impinging on the epiglottis or vocal cords. In this situation, we inserted a Macintosch laryngoscope into the pharynx and then advanced the ETT through the laryngeal structures while viewing the epiglottis or glottis opening. The Parker Flex-Tip tube (Parker Medical, Englewood, CO) has a soft, flexible, curved, centered, distal tip.2'3 This superior, beveled tip tends to smoothly move through the laryngeal structures. We have found that the Parker Flex-Tip tube with a bougie can be smoothly advanced through the laryngeal structures into the trachea without a laryngoscope after lung lavage.A 42-year-old woman weighing 70 kg was scheduled for unilateral bronchopulmonary lavage because of pulmonary alveolar proteinosis.