Methodology: 4/5
Usefulness: 3/5

Driver BE, et al. JAMA. 2021 Dec 28;326(24):2488-2497.

Question and Methods:  Multicentre unblinded pragmatic trial comparing first pass success with the bougie compared to stylet in endotracheal intubation of critically ill patients 
Findings:  No significant difference between first-pass success with bougie (80.4%) and stylet (83%) with 2.6% risk difference, 95% CI, -7.3 to 2.2).
Limitations:  Excluded patients requiring emergent intubation, low relative first-pass success rate, majority of operators were resident physicians

Interpretation: Study does not support routine use of bougie in augmenting first pass success intubation in the critically ill patient.  

By: Dr. Vivian Tam