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3 results

  • Chapter 15 - Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters

  • from Section 1 - Airway Management: Background and Techniques
  • Edited by Tim Cook, Michael Seltz Kristensen
  • Book:
    Core Topics in Airway Management
    Published online:
    03 October 2020
    Print publication:
    03 December 2020, pp 130-139

  • Summary

    Tracheal tube introducers or bougies and airway exchange catheters (AECs) are widely used airway adjuncts for facilitating airway management in difficult circumstances. They are easy to use, relatively inexpensive and have success rates of ≥ 90% in most settings. Both are included in many modern airway management algorithms. The use of bougies has expanded over the years, and they are now used to aid insertion of supraglottic airways (SGAs), videolaryngoscope-guided intubation and as adjuncts to emergency front of neck airway procedures. Stylets are rigid or semi-rigid airway adjuncts that are inserted into the tracheal tube before intubation. They maintain the tracheal tube in a particular shape and may therefore assist during intubation. AECs are semi-rigid hollow tubes designed to aid airway device (SGA, and single- or double-lumen tracheal tube) exchange or to manage ‘at-risk’ extubation. The risk of serious airway trauma associated with the use of bougies and airway exchange catheters, and the risk of barotrauma with the latter, invites cautious and educated use of these devices.

  • The bougie and first-pass success in the emergency department: Journal Club review

  • Emily W. Stewart, Kerry P. Spearing, Riyad B. Abu-Laban
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 21 / Issue 3 / May 2019
    Published online by Cambridge University Press:
    21 February 2019, pp. 427-429
    Print publication:
    May 2019
    • Article
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  • Clinical question: Is bougie use associated with increased first-pass success in emergency department (ED) intubations?

    Article chosen: Driver et al. The Bougie and First-Pass Success in the Emergency Department. Annals of Emerg Med 2017;70(4):473–478.

    Objective: To compare data and assess whether bougie use is independently associated with first-pass success in ED intubations.

  • Cricopharyngeal dysfunction with significant piriform sinus expansion: case report

  • S Chitose, H Umeno, S Hamakawa, K Gondou, T Nakashima
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue S31 / May 2009
    Published online by Cambridge University Press:
    22 May 2009, pp. 108-112
    Print publication:
    May 2009

  • This report describes the case of a patient with cricopharyngeal dysfunction with significant piriform sinus expansion. An 80-year-old man presented with a three-year history of dysphagia. Palsy of the cricopharyngeal chalasis was identified by electromyography under both videofluorography and manofluorography. Although a widening procedure was performed in the cricopharyngeal region using a bougie, the patient gained only minor relief from his dysphagia. After the patient had had adequate time to recover spontaneously (six months), a cricopharyngeal myotomy was performed. As a result, his dysphagia resolved and the post-operative course was uneventful. The clinical and histopathological findings in this case suggested that significant piriform sinus expansion had resulted from the cricopharyngeal dysfunction, due to cricopharyngeal myopathy.