Easy To Use The Endotracheal Tube Introducer（Bougie）

The Endotracheal Tube Bougie is one of the simplest and most valuable devices to help with difficult intubation. The main use is for difficult intubation when you cannot see the larynx well but can predict the location of the glottic opening based on the anatomy. However, the bougie must be used with care to avoid patient injury.

The Endotracheal Tube Bougie is an endotracheal tube made of a braided polyester base and a resin coating that makes it both flexible and rigid at body temperature. The tubes are available in 15 Fr, 10 Fr, 6 Fr. You place a bougie when you are intubating because it is a quick and easy aid when a difficult intubation unexpectedly occurs.

The Endotracheal Tube Bougie is flexible and retains its shape, providing superior assistance during the intubation process. The angled atraumatic tip minimizes the risk associated with patient trauma, making the procedure safer. The smooth surface reduces friction to a minimum, ensuring a smoother insertion process, which is essential for patient comfort. Each bougie is individually packaged in a sterile, easy-to-open pouch, prioritizing safety and hygiene. Effective in situations where it is difficult to obtain the correct intubation angle, reducing the efficiency of difficult intubations. Provides a simplified method to manage the complexities of intubation, especially in situations where visual cues are limited. Ensures adaptation to the individual patient's airway, useful in situations where multiple insertions are required before a successful endotracheal tube is placed.

Benefits of the Endotracheal Tube Introducer

• The rubber material of the Endotracheal Tube Bougie is flexible and retains its shape, providing excellent assistance during the intubation process.
• The angled atraumatic tip minimizes the risk of patient trauma, making the procedure safer.
• The smooth surface reduces friction to a minimum, ensuring a smoother insertion process, which is essential for patient comfort.
• Each bougie is individually packaged in a sterile, easy-to-open pouch, prioritizing safety and hygiene. Each package contains 20 bougies, each 700mm long, designed for adults, ensuring you are fully prepared for multiple procedures.
• Effective in situations where it is difficult to obtain the correct intubation angle, reducing the efficiency of difficult intubations.
• Provides a simplified way to deal with the complexity of intubation, especially in situations where visual cues are limited.
• Ensures adaptation to the individual patient's airway, useful in situations where multiple insertions are required before a successful endotracheal tube is placed.

Tips for Success

When using a bougie, keep your eyes on the target. If the tip of the bougie gets stuck at the anterior commissure, you may need to rotate the bougie to get it past the vocal cords. Once the bougie is in place, remove the bougie and laryngoscope and confirm that the bougie is properly placed.

Sometimes it can be difficult to get the tip of the bougie to turn up toward the trachea, especially if the patient cannot extend their neck well or open their mouth wide. During insertion, gently press the bougie stem against the upper teeth to force a shallow bend in the tip of the bougie, which bends the tip of the bougie up toward the larynx. The more you press, the more it bends, helping you aim for the corners and insert with ease.

A study of patients who required cervical spine precautions and stabilization showed that 45% of patients had a narrowed view of the larynx during direct laryngoscopy when in a neutral position. Of these, 22% could only see the epiglottis. All patients in the bougie group were successfully intubated within 15-20 seconds. On the other hand, five patients in the laryngoscopy-only group subsequently required a bougie, and five of these patients took more than 50 seconds to be intubated. Therefore, the bougie appears to be a good adjunct to difficult intubations. You should practice using it in routine intubations to gain experience before using it in an emergency situation.