Gum elastic bougies

Sellers, W. F. S.

doi:10.1111/j.1365-2044.2002.2520_8.x

Cited by 9 publications

(5 citation statements)

References 1 publication

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“…Venn designed a coudé tip to the bougie [1], which was introduced 24 years after Macintosh's description of ‘a long gum‐elastic catheter’[15]. It was widely assumed that the bougie with coudé tip would be helpful in facilitating tracheal intubation [4–6]. Mushambi & Iyer [3] stressed the importance of using the coudé‐tipped bougie for routine or difficult intubation, after finding that 2 of 17 operating theatres in their hospital stored only straight‐tipped bougies.…”

Section: Discussionmentioning

confidence: 99%

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To shape or not to shape…Simulated bougie‐assisted difficult intubation in a manikin*

Hodzovic¹,

Wilkes²,

Latto

2003

Anaesthesia

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Thirty anaesthetists attempted to place a derived 'optimal' curve bougie or a straight bougie in the trachea of a manikin, in a randomised cross-over study. A Grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists were blinded to success (tracheal placement) or failure (oesophageal placement). The success rates with the curved and straight bougies were 83 and 7%, respectively, giving a difference (95% confidence interval) of 77% (54-87%) between the two bougies (p < 0.0001). On a separate occasion, under identical laboratory conditions, 30 anaesthetists attempted to place a straight coudé (angled)-tipped bougie or a straight straight-tipped bougie in the trachea of a manikin. The success rates with the coudé- and straight-tipped bougies were 43 and 0%, respectively, giving a difference (95% confidence interval) of 43% (21-61%) between the two bougies (p < 0.001). These results suggest that bougies used to facilitate difficult intubation should be curved and have a coudé tip.

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Section: Discussionmentioning

confidence: 99%

“…The coudé (angled) tip of the bougie was introduced by Venn in 1973 [1]. There have been assertions that the coudé tip would be helpful in facilitating intubation [2–5], but this has not been verified.…”

Section: The Outline Of the Investigationmentioning

confidence: 99%

To shape or not to shape…Simulated bougie‐assisted difficult intubation in a manikin*

Hodzovic¹,

Wilkes²,

Latto

2003

Anaesthesia

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“…It is now called the 'Eschmann Tracheal Tube Introducer' and is marketed by Smiths Instruments Medical Systems (Portex Ltd). There is no doubt that the angled tip contributes to the success of the device [8,9]. However, it differs from the introducer used by Macintosh in design features other that the angled tip.…”

Section: 'Hold Up' and The Gum Elastic Bougiementioning

confidence: 99%

An unusual problem with pulse oximetry

Spencer¹

2003

Anaesthesia

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“… A straight tip will not sense tracheal rings; none were felt. Hold up occurred very deep at 50 cm; normal depth for a female using coude tip would be 30–35 cm. Knowledge of the two types of bougie is not universal [1]. Kettering hospital has both coude and non‐coude tip introducers. …”

mentioning

confidence: 99%