A case of the unanticipated difficult airway where bougie was used as a conduit over I gel as a rescue airway for one-lung ventilation under direct vision of fiberoptic bronchoscopy

The basic foremost step for any surgery done under general anesthesia is to place an endotracheal tube (ETT) into the trachea. Placement of a definitive airway is vital to maintain a critical level of oxygen in the end organ during apnea time. There are multiple ways revealed in the literature to place ETT into the trachea. Sometimes, placement can be achieved speedily at the critical time with the experience of anesthesiologist and availability of different airway adjutants. Here, we describe a case of ETT intubation using bougie as a conduit over I gel under direct vision of fiberoptic bronchoscopy in a thymic enhancing mass.