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NextGen Tube Introducers



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The evolution of the tube introducer continues. In this space we highlight an articulating device: the Total Control Introducer. Creators like @RunnelsSean are looking at the needs of todays clinicians from a global perspective.

This nextgen “bougie” is built to work effectively with DL but also integrate more effectively with the video laryngoscope. Its articulating distal tip can improve tracheal access, and unlike traditional bougies, it plays well with HAVL.

PAC has no financial relationship with Through the Cords

The Digital Learning Space

Enhanced Digital Content

Use this learning space in two ways. As an online course, scroll down and enter the online learning space. Explore each section below, or use the navigation tool to go directly to the content you’re interested in. Then, use this enhanced digital content in one of our pop-up physical spaces for hands-on procedure training, skills challenges, and expert coaching.


Rapid Review

Rapid Revi

Is real time too slow for you? This high-speed selection will jog your memory, give you the highlights, and prime you for what comes next. ⏩

Procedure Video

Now slow it down and get into all the essential details required to use this airway device by watching the full version of the video.

Clinical Demonstration

Watch this clinical demonstration of the TCI in action in the operating room by PAC faculty Rohan Panchamia MD.

The Physical Learning Space

Procedures, Skills, Coaching

integrated digital & Physical space

This online learning space has enhanced content designed to be part of an immersive, hands-on training lab. The interactive graphic posters create pop-up learning in the physical space for procedure training, skills challenges, expert coaching, simulations, and team training opportunities.

Guided Practice

HANDS-ON training

Remember, if you’re in one of our pop-up learning spaces or a PAC Live event, find this icon and use the multimedia tools for hands-on guided practice.

  1. Look for this icon.
  2. Snap the QR code.
  3. Begin your hands-on practice.
  4. Get feedback on your skills.

Don’t forget to ask our faculty coaches for real-time expert feedback and earn points!


It’s the little details that matter. Review this collection of microskill GIFs so that you can perform this procedure flawlessly. Grab a bougie, tube & syringe, and follow along to encode those tactile skills into your long-term memory 🧠 ✋.

Get triggered! A gentle squeeze of the trigger on the TCI device allows for precise control of the angle of the tip of the device.

Once the introducer is in place release the handle by pushing forward with your thumb to release.

Expert resources

When it comes to the TCI why not go to the source! Check out all the great online training resources created by Sean Runnels MD the creator of the TCI on his website. Follow him on Twitter @RunnelsSean

User Guide

Open this to help guide you through the space and earn credit toward completion.

  1. Open the guide to a tab on your browser.
  2. Visit each poster & review the content.
  3. Complete any challenges to earn points.

What’s Next


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.

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