Stylet or Bougie for Intubation | 合法醫療器材資訊網

Noguchietal²comparedthegumelasticbougietoastyletwhenapplyingcricoidpressure.Well,Icanstoprightthere,becausecricoidpressureisout.But ...

As many of you will know, I’ve been teaching airway workshops now for many years, and have put over 3500 doctors through the Advance Airways Workshop.

I teach equipment in the following way:Your weapon of choice is the size 3 curved blade.Everyone gets a 7.5 tube in the emergency situationAlways use a stylet and bend the end so it looks like a bougieMy back up: a Bougie

Now I know there has been some work done on the bougie vs the stylet, but I was recently told that the stylets are so “yesterday” and everyone is using a bougie first now. Really? I want to look at the literature on this.

In a 20 year old study¹ they found that the gum elastic was superior to the stylet in terms of intubation success rate when tested on simulated Grade 3 view. This study used simulated views rather than actual and they didn’t consider Grade 4 views.

Noguchi et al ² compared the gum elastic bougie to a stylet when applying cricoid pressure.  Well, I can stop right there, be...