Passage of an endotracheal tube (ETT) into the trachea is an essential portion of airway management. The use of a tracheal tube introducer (bougie) is part of the airway strategy in multiple guidelines. These recommendations have predominantly been made on the basis of expert consensus opinion. There is currently minimal evidence to support their use to improve first pass success rat (FPS). Poor FPS has been associated with periintubation adverse events and is a commonly used airway management quality index. Four different methods to aid in ETT are frequently advocated: a ‘naked’ ETT without adjuncts, a preformed stylet inside an ETT, a bougie followed by a railroaded ETT, and an ETT with preloaded bougie (KIWI-D grip).
We aimed to demonstrate which method has the highest FPS and shortest time to intubation in a manikin model.
Counties Manukau Health