Use of the bougie in simulated difficult intubation. 2. Comparison of single-use bougie with multiple-use bougie.
We studied the success rates for tracheal intubation in 32 healthy, anaesthetised patients during simulated grade IIIa laryngoscopy, randomised to either the multiple-use or the single-use bougie. Success rates (primary end-point) and times taken (secondary end-point) to achieve tracheal intubation were recorded. The multiple-use bougie was more successful than the single-use one (15/16 successful intubations vs. 9/16; p = 0.03). With either device, median [range] total tracheal intubation times for successful attempts were < 54 [24-84] s and there were no clinically important differences between these times. We conclude that the multiple-use bougie is a more reliable aid to tracheal intubation than the single-use introducer in grade IIIa laryngoscopy.
Marfin
A G
AG
Nuffield Department of Anaesthesia, The John Radcliffe Hospital, Oxford, OX3 9 DU.
Pandit
J J
JJ
Hames
K C
KC
Popat
M T
MT
Yentis
S M
SM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D004209:Disposable Equipment; D017743:Equipment Reuse; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D013997:Time Factors