A NEXTGEN LEARNING SPACE DEsigned to ELEVATE YOUR AIRWAY PRACTICE
Introduction
start here
In this space, let’s discuss why it’s okay to be bougie. You may wonder why this “accessory” to intubation is still around. The evidence suggests expanded possibilities for their use beyond backup or rescue devices for difficult airways, and there are some good reasons for this.
The Online Learning Space
Enhanced Digital Content
Enhanced digital content allows you to learn in two ways. Use the space here as part of the online course for this topic. Then, let the same enhanced digital content guide you through our immersive physical space for hands-on procedure training, skills challenges, and expert coaching.
Navigation
Rapid Review
Get some high-speed hits of essential knowledge and prime yourself for what comes next.
What’s the Difference?
Why do tube introducers continue evolving and expanding their airway management role? It’s because they’re designed with a single purpose: tracheal access and enhanced tube delivery. Let’s quickly compare some of the common design features of tube introducers vs. the design features of modern endotracheal tubes. Then, you’ll begin to see their advantage in intubation success.
Expanding Indications
When most people think of tube introducers, they think of the standard blue bougie and then only as a difficult airway adjunct, but evidence suggests it has an expanding number of roles in clinical practice. Here are just a few.
Core Concepts
design with purpose
Many people ask us, do you even need to learn about tube introducers in the age of VL? I thought they were a relic of the DL age? Well, not so fast. Let’s talk about the design features and intention of the bougie to help explain why they remain a valuable part of your airway practice.
Some Evidence
There’s some good evidence that tube introducers like the standard bougie can improve first pass success. Some clinicians, particularly those in emergency settings have seen this potentially game changing evidence, and shifted to a “bougie first” mindset.
Evidence Based Bougie – How do tube introducers stack up when compared to stylets?
Curated Social Network
clinical pearl
Something to consider as you work on your bougie skills. It can be more than just a backup plan📚
foam resource
@JohnCSakles is one of our favorite FOAMed airway educators. He is in our extended learning network. Take a moment and put him in yours. You’ll be glad you did 📚
User Guide
Open this to help guide you through the space and earn credit toward completion.
- Open the guide to a tab on your browser.
- Visit each poster & review the content.
- Complete any challenges to earn points.
What’s Next
FIND ME
Congratulations! You’ve completed this section of the learning space. Collect all the available points before moving on to the next poster to explore all the interactive and hands-on learning opportunities.
Online Only
If you can’t be with us in person, you can still use this enhanced digital content as an online course. Visit the digital home page of this learning space by using the link below. Otherwise, head to the next poster above to continue through the physical learning space.
Return to the Source
Dive into some the most intriguing and practice changing papers published on this topic. We’ve gone to the source and collected what we think are the ones you should definitely know about.
- Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. Brian E Driver 1, Matthew E Prekker 1 2, Lauren R Klein 1, Robert F Reardon 1, James R Miner 1, Erik T Fagerstrom 1, Mitchell R Cleghorn 3, John W McGill 1, Jon B Cole 1 JAMA; 018 Jun 5;319(21):2179-2189. doi: 10.1001/jama.2018.6496.
- Routine Use of a Bougie Improves First-Attempt Intubation Success in the Out-of-Hospital Setting Andrew J. Latimer, MD Brenna Harrington, Catherine R. Counts, PhD, MHA Charles Maynard, PhD Taketo Watase, MD Michael R. Sayre, MD Published:December 17, 2020DOI: https://doi.org/10.1016/j.annemergmed.2020.10.016
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