In the interesting article by Shah et al. that determined the success rate of endotracheal intubation using a gum elastic bougie (GEB) in the emergency department, the authors found that the GEB had a success rate of 73.7% when utilized as a rescue airway in patients with difficult airways, and the characteristics of “palpable clicks” and “hold-up” were unreliable (
1). There are several aspects of the methods and results of this study that should be clarified and discussed.
- Shah K.H.
- Kwong B.M.
- Hazan A.
- Newman D.H.
- Wiener D.
Success of the gum elastic bougie as a rescue airway in the emergency department.
J Emerg Med. 2011; 40: 1-6
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- Success of the gum elastic bougie as a rescue airway in the emergency department.J Emerg Med. 2011; 40: 1-6
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- Success of the Gum Elastic Bougie as a Rescue Airway in the Emergency DepartmentJournal of Emergency MedicineVol. 40Issue 1
- PreviewBackground: The gum elastic bougie (GEB) is a rescue airway device commonly found in the emergency department (ED). However, data documenting its efficacy are lacking in the emergency medicine literature. Study Objectives: To determine the success rate of endotracheal intubation using a GEB and the reliability of “palpable clicks” and “hold-up” in the ED setting. Methods: The GEB was introduced at our two affiliated urban EDs with a 3-year residency training program and an annual census of 150,000.
- Reply: Shah Kwong Newman Response to XueJournal of Emergency MedicineVol. 48Issue 4
- PreviewWe would like to thank Dr. Fu-Shan Xue and his colleagues for their interest in our study on the use of the gum elastic bougie (GEB) for endotracheal intubation. We appreciate the thoughtful and insightful comments written in the letter and we can certainly address a few of their concerns and queries.