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Evolution of the Tube Introducer

NextGen Learning To Elevate Your Airway Practice


Overview

bougie or tube introducer is a flexible, slender device used in airway management to facilitate endotracheal intubation, especially in challenging anatomically difficult scenarios where direct visualization of the vocal cords is sub-optimal, by serving as a guide for placing an endotracheal tube (ETT).

From its humble origins, the bougie has evolved. New techniques for use, new evidence, and new devices with advanced features have made bougies a handy rescue device and an essential part of airway management. This space will discuss the origin, evolution, and current practices for the classic bougie and other tube introducers.

What’s Inside

IntroductionIt’s OK be BougieClassic Bougie
PreloadedExchange CatheterArticulating Device
Vie ScopeWhat’s NextCreators

Learning Objectives

a lesson in design

To stay relevant means changing with the times. How have these devices evolved?

Some things never go out of style

So why do you even need to use tube introducers? What is the point of having video laryngoscopes and endotracheal tubes with stylets? Aren’t these devices a thing of the past? Not so fast…

all shapes and sizes

Not all bougies are the same. They vary in size, shape, elasticity, and color, and these features impact their performance.

classic bougie style

Classic bougie style begins with this technique.

the preloaded technique

This is an efficient single-operating technique. It also helps to keep that bougie from falling onto the floor right when you need it!

NExtGen Style Now

Learn how the next generation of tube introducers is changing the game in the age of VL with enhanced design.

integrated design

New devices that make a bougie part of its DNA.



What’s Next

Find Or Click Me


Nice work—you’re through this section! To keep going, scan the QR code on the physical poster at the next station in our pop-up training space to access the next set of digital content. Prefer to stay online? Just click the poster image here to continue your journey.


Meet the creators

Each learning space takes a collaborative and design-forward approach. We draw on the power of the creative arts to inspire and tell stories, on the sciences to improve our clinical practice, and on the diverse perspectives of our combined experience to deepen our knowledge. Each unique creation has one goal: to elevate your emergency airway practice.

Rohan Panchamia MD – Director the Anatomically difficult airway program @PAC

Dr. Rohan Panchamia is a board-certified Anesthesiologist specializing in critical care medicine and transplant anesthesiology. His clinical interests include critical care ultrasound, liver anesthesia, trauma anesthesia, advanced airway education, and resuscitative transesophageal echocardiography.  

Sean Runnels MD – Creator through the cords tube introducers

Dr. Runnels is the founder, inventor, and driving force behind Through The Cords. He is an Associate Professor of Anesthesiology at the University of Utah. He was fellowship-trained as a cardiothoracic anesthesiologist at Cambridge University in the UK and has extensive experience in difficult airway management in both high-resource and low-resource settings. 

JOnathan St George MD – Creator of the protected airway collaborative

Emergency physician and educator. Guided in my belief that high-quality airway training.is the guardrail that protects our patients from harm. Full bio here.


Download Poster Files

Use this file to print the posters and set up your learning space. Add your equipment, and you’re ready for some hands-on learning.