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The Preloaded Bougie


This space is organized from rapid review to deep dive to bring you the most essential knowledge first. You can also use the navigation tool below. Getting started is as easy as scrolling down. ๐Ÿ‘‡

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Guided PracticeMicroskills
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In contrast to the standard bougie technique which works best with an assistant, the preloaded bougie technique is ideal for the single operator. It is fast, effective and doesn’t require an extra set of hands. Because the bougie is “preloaded” it also makes the movements of intubation more efficient. Watch the rapid review video here of the d-grip preloaded style by PAC faculty @ResusOnTheRoad then go ahead and take a deep dive into all the rest of the content. Enjoy ๐Ÿ˜Š

Rapid Review — insta style

Real time too slow for you? Only have a few minutes on your break for some learning? Just need a quick hit refresher? Watch this first! We give you learning here in under a minute Then, when you have time scroll down for all the rest.

Full Procedure video – Dgrip preloaded

Ready to dive a little deeper? Here’s a full demonstration of the preloaded bougie technique. Perfect for the single operator when you don’t have a spare set of hands.

training that meets you where you live

  1. Look for QR code
  2. Snap with mobile device
  3. Begin your guided practice


Dive Deeper

You could stop here, but why would you want to? Go beyond the basic procedure skills and dive into the content below

  • Microskills
  • Troubleshooting
  • FOAMed
  • Learning Network Builders

It’s the little details that matter, and we’ve captured all of them here with our helpful GIFs. Go ahead and review this collection of microskills so that you can perform this procedure flawlessly. Even better, grab a bougie, tube & syringe and follow along to encode those tactile skills into your long-term memory ๐Ÿง ๐Ÿ‘‡.

Troubleshooting Tips ๐Ÿ› 

When things go wrong you need to be able diagnose the problem and address it in real time. That means having a toolbox of troubleshooting skills for common problems. Spend some time reviewing these and add them to your toolbox.

The bougie is too short!

NOTE: not all bougies are the same length. For this preloaded bougie technique we recommend a 70cm length to introducer to ensure your able to secure it in the trachea.

Curated FOAMed

Pick up some great airway pearls related to this topic and build your learning network by checking out the curated FOAM educators we have for you here. ๐Ÿงผ

One of our favorite FOAM educators! Dr Yen Chow and his great video on the preloaded bougie. Pay particular attention to how he holds it. Then follow him on Twitter for regular airway pearls (we do).

A word of caution

Dr Kovacs is another great FOAMed educator you should add to your learning network. Here he gives a word of caution about the preloaded bougie. I’m not as down on this technique as he is, but the key takeaway is don’t use a short bougie, and remember to make sure you pull it tight so that you have enough bougie extending beyond the end of the tube!


Sure you could stop here, but why would you? For in person learners, locate any of the posters below, then snap the QR codes embedded within them to access the interactive content. Don’t forget to use the guided self-practice tools for hands on learning

For remote learning head back to the masterclass or go to the home page for complete access to all the same content, plus podcasts, expert interviews and schedules for live events.

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