{"id":18441,"date":"2020-01-07T11:52:02","date_gmt":"2020-01-07T08:52:02","guid":{"rendered":"https:\/\/tatd.org.tr\/medsim\/blog\/2020\/01\/07\/while-trying-to-pass-the-endotracheal-tube-over-the-bougie-it-becomes-held-up-what-do-you-do\/"},"modified":"2021-12-28T20:41:33","modified_gmt":"2021-12-28T17:41:33","slug":"while-trying-to-pass-the-endotracheal-tube-over-the-bougie-it-becomes-held-up-what-do-you-do","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/medsim\/blog\/2020\/01\/07\/while-trying-to-pass-the-endotracheal-tube-over-the-bougie-it-becomes-held-up-what-do-you-do\/","title":{"rendered":"While trying to pass the endotracheal tube over the bougie, it becomes held up. What do you do?"},"content":{"rendered":"\r\n<figure class=\"&quot;wp-block-embed-youtube\">\r\n<div class=\"&quot;wp-block-embed__wrapper&quot;\">https:\/\/www.youtube.com\/watch?v=5t6Hhnr7oF4<\/div>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">You are intubating a patient using a gum elastic bougie. While trying to pass the endotracheal tube over the bougie, it becomes held up. What do you do?<br \/>\u2022<br \/>Because of its shape, your tube may be held up on the arytenoid cartilages. The video above demonstrates why this happens. Your best option at this point is to attempt a \u201cflip-flop maneuver\u201d. To do this, back the tube up, turn it 90 degrees counter-clockwise, and advance again. This will put the bevel of the tube down and may allow it to pass over the arytenoids.<br \/>\u2022<br \/>\u2022<br \/>\u2022<br \/>Bir hastay\u0131 elastik buji kullanarak ent\u00fcbasyon yap\u0131yorsunuz. Endotrakeal t\u00fcp\u00fc buji \u00fczerinden ge\u00e7irmeye \u00e7al\u0131\u015f\u0131rken, tak\u0131ld\u0131 ve ilerlemedi. Ne yapars\u0131n\u0131z?<br \/>\u2022<br \/>\u015eekli nedeniyle t\u00fcp\u00fcn\u00fcz aritoid k\u0131k\u0131rdaklar\u0131n \u00fczerinde tak\u0131labilir. Yukar\u0131daki video bunun neden oldu\u011funu g\u00f6stermektedir. Bu noktada en iyi se\u00e7ene\u011finiz \u201c\u00e7evirme manevras\u0131\u201d yapmakt\u0131r. Bunu yapmak i\u00e7in t\u00fcp\u00fc bir miktar geri \u00e7ekin, saat y\u00f6n\u00fcn\u00fcn tersine 90 derece \u00e7evirin ve tekrar ilerleyin. Bu t\u00fcp\u00fcn e\u011fimini a\u015fa\u011f\u0131 indirir ve aritenoidlerin \u00fczerinden ge\u00e7mesine izin verir.<br \/>\u2022<br \/>\u2022<br \/>\u2022<br \/>Follow us\/Bizi takip edin<br \/>\u00b7<br \/>Twitter:<a href=\"https:\/\/twitter.com\/tatd_medsim\"> www.twitter.com\/tatd_medsim<\/a><br \/>Instagram: <a href=\"https:\/\/www.instagram.com\/tatd_medsim\/\">www.instagram.com\/tatd_medsim<\/a><br \/>Facebook: <a href=\"https:\/\/www.facebook.com\/TATDMEDSIM\/\">www.facebook.com\/tatdmedsim<\/a><br \/><br \/><br \/>#intubation #airway #difficultairway #bougie #flipflop #notsandals #FOAMed #medicaleducation #meded #emergency #emergencymedicine #emphysician #emdoc #residentlife #medicalsimulation #medicalstudent #medstudent #medicalschool #medschool #resuscitation #patientcare<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>You are intubating a patient using a gum elastic bougie. While trying to pass the endotracheal tube over the bougie, it becomes&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","_tatd_show_on_main_site":"","footnotes":""},"categories":[10024],"tags":[],"class_list":["post-18441","post","type-post","status-publish","format-standard","hentry","category-genel"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/posts\/18441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/comments?post=18441"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/posts\/18441\/revisions"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/media?parent=18441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/categories?post=18441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/medsim\/wp-json\/wp\/v2\/tags?post=18441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}