Bougie 4 mm OD 700 mm length
The Bougie is a straight, semirigid stylette like device with a bent tip
that can be used when intubation is expected to be difficult often
helpful when the tracheal opening is anterior to the visual field. During
laryngoscopy, the bougie is carefully advanced into the larynx and through the
cords until the tip enters a mainstem broncus. While maintaining the
laryngoscope and Bougie in position, an assistant threads an ETT over the end of
the bougie, into the larynx. Once the ETT is in place, the bougie is removed.
1. Select the right size endotracheal tube you plan to intubate.
2. Lubricate introducer with KY jelly.
3. Perform laryngoscopy. If cords not visible, identify landmarks to aid
4. Place introducer into the pharynx and direct into larynx. If necessary, bend
the introducer to negotiate the corner. Correct placement may be confirmed by
detection of tracheal clicks and hold up of the bougie - no hold up
indicates oesophageal placement.
5. Leave laryngoscope in place while assistant threads endotracheal tube over
introducer into trachea. If tube sticks at the laryngeal inlet, a 90 degree counter
clockwise rotation may help.
6. Hold the tube firmly in place and gently withdraw the introducer.
7. Remove laryngoscope and confirm tube placement as usual.
8. If preferred, the endotracheal tube may be placed over the introducer prior
to intubation, instead of using stylet.
9. Watch the video below for practical demo