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
