Podcast 751: The Bougie Trial

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">An endotracheal tube introducer or bougie are often used as a rescue device during difficult intubations as they are small and can be placed blindly</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Large randomized-controlled trial looked at first-pass bougie use versus standard intubation to determine if there was improvement in first-pass success rate</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">No difference in first-pass success rate, about 80% for both techniques</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">This does not mean that bougies are not great rescue devices or options for managing an airway</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Driver BE, Semler MW, Self WH, et al. Effect of Use of a Bougie vs Endotracheal Tube With Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial. JAMA. 2021;326(24):2488–2497.</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=6bIZ91UwjZALMiRLAEcQYYPHyLILwbivQwgtGl3Jz