The endotracheal bougie is used for difficult intubations when only a minimal glottic view is obtained. Standard bougies are designed for use during direct, line-of-sight viewing of the glottic opening. With videolaryngoscopy, intubators "see around the corner", thus requiring a bougie which can be shaped to follow a significant curve. A malleable bougie with an imbedded internal wire was created to enable intubators to shape the curve to best fit a difficult airway. This pilot study examined the malleable bougie compared to the SunMed bougie in a simulated difficult airway intubation using video laryngoscopy.
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An intubation technique using hyperangulated video laryngoscopy and a DuCanto suction catheter preloaded with a bougie: A case report with a video demonstration.
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Background: Endotracheal intubation (ETI) is a procedure widely performed for several clinical indications. In typical ETI, an endotracheal tube is placed into a patient's trachea with the help of a malleable metal rod covered with a clear plastic sheath (called a stylet). However, another intubation aid, a bougie (also named a gum elastic bougie or endotracheal tube introducer), was also introduced in the clinical setting to improve the efficacy of conventional ETI.
View Article and Find Full Text PDF[Use of the gum elastic bougie].
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Gum Elastic Bougie (GEB) was originally introduced into clinical practice in 1949 by Sir Robert Macintosh. British anesthesiologists choose this tracheal tube introducer than the malleable stylet to facilitate difficult intubation. However, the bougie may not always be used in an optimal manner in Japan.
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Stud Health Technol Inform
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Dept. Emergency Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
The wider angle of view of videolaryngoscopy versus standard direct laryngoscopy requires an assessment of the adjunctive devices used to facilitate intubation. In this study, subjects performed malleable bougie-assisted intubation and curved forceps removal of a glottic foreign body using videolaryngoscopy on a lightly embalmed cadaver and completed a post-procedure questionnaire. All subjects valued access to the malleable bougie available at their hospitals and 82% valued access to the curved forceps.
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Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Airway management has multiple indications for nasotracheal intubation. In this study, we focus on its indication in difficult airways. This work describes a modified procedure of nasotracheal intubation using the new Storz CMAC® Videolaryngoscope, the malleable Boedeker Bougie and the curved Boedeker Forceps in the intubation of a difficult airway manikin.
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