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NextGen Tube Introducers

nextgen learning to elevate your airway practice
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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 Space


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.


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

What’s Next


When you’re ready, it’s time to head to the next poster shown here to continue the journey through this space.

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.