The reusable gum elastic bougie serves as a reliable aid to intubate and exchange a tracheal tube as tube exchanger. Serious complications related to bougie use, such as airway trauma, false passage are rare; in fact, there are only a few case reports.A 50 yr male patient with cervical spine C5-C6 fracture posted for anterior cervical laminectomy had been intubated in the emergency casualty with 7.5 mm I.D endotracheal tube. In view of high airway pressure, it was decided to change ETT over bougie.On withdrawing ETT, bougie also came out along as bougie had engaged murphys eye which is very rare incidence.
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