How do you use a bougie as an airway adjunct for endotracheal intubation?

Have you ever used a bougie as an adjunct to airway management before?  Would you consider yourself an expert?  Drs. Bird and Nevin have written a short description of their use and some of the literature behind them.  While this doesn’t supplant hands-on experience, it may change your perception or encourage you to keep it in your difficult airway box.  The authors also mention that bougies are not complication free.

Dr. Ruth Bird is an Anaesthesia & Paediatric Trauma Fellow at The Royal London Hospital.  Dr. Dan Nevin is a Consultant Anaesthetist at the Royal London Hospital (UK) where he works as a key member of the Trauma Anaesthesia Group in both the ED and the operating theatres. He is originally from South Africa where he grew up and was schooled and trained. Amongst his diverse interests he enjoys anaesthesia for complex major general surgery, vascular surgery and, of course, trauma. Professionally, he has interest in complex resuscitative interventions, acute traumatic coagulopathy and the use of point-of-care testing in treating the same. Additionally he has spent many years working in the pre-hospital environment in both South Africa and the UK and is a Consultant in Pre-hospital Care for London’s Air Ambulance Helicopter Emergency Medical Service. In his spare time he tries to keep fit and is an ardent supporter of Springbok rugby!

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