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
Dr. Vivian Tam MD, MSc
MD, MSc, FRCPC
Dr. Rosenberg is an emergency physician at the Ottawa Hospital, associate professor at the University of Ottawa, and Director of the Digital Scholarship and Knowledge Dissemination Program.