Document Detail


The Bougie: An Inexpensive Lifesaving Airway Device.
MedLine Citation:
PMID:  21550750     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: "Bougies," otherwise known as endotracheal tube introducers, remain preferred devices for the emergency physician when faced with a difficult airway. Bougies have high success rates for the prehospital provider and the first-time emergency department (ED) user, with few reported complications. Inexpensive, disposable models provide simple yet valuable tools in the challenging patient with an anterior airway or limited neck mobility. OBJECTIVES: Use of the bougie is similar to standard endotracheal intubation. Correct placement is determined by feeling "clicks" as the device passes over the tracheal rings and a "hold up" when entering the distal airways. CASE REPORTS: Three recent cases from our ED are briefly reported, in which the bougie was invaluable in the management of the difficult airway. All patients had limited visualization of the glottis but were intubated successfully. CONCLUSION: This article discusses three example cases, and then reviews the history of the bougie, placement technique, and current evidence for use.
Authors:
Jessica Sime; John Bailitz; Jordan Moskoff
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-6
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  -     ISSN:  0736-4679     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Emergency Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois.
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