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.To read this article in full you will need to make a payment
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References
- Success of the gum elastic bougie as a rescue airway in the emergency department.J Emerg Med. 2011; 40: 1-6
- Intubating stylets.in: Hagberg C.A. Benumof's airway management. 2nd edn. Mosby-Year Book Inc, St. Louis, MO2007: 464-465
- Evaluation of Frova single-use intubation introducer in a manikin. Comparison with Eschmann multiple-use introducer and Portex single-use introducer.Anaesthesia. 2004; 59: 811-816
- Evaluation of tracheal tube introducers in simulated difficult intubation.Anaesthesia. 2009; 64: 309-314
- Is your bougie helping or hindering you?.Anaesthesia. 2001; 56: 1121
- Use of gum elastic bougie for prehospital difficult intubation.Am J Emerg Med. 2005; 23: 552-555
- Unanticipated difficult airway management in the prehospital emergency setting: prospective validation of an algorithm.Anesthesiology. 2011; 114: 105-110
- The special techniques of blind tracheal intubation technique.in: Xue F.S. Modern airway management: a key technique for clinical anesthesia and critical care medicine. Zheng-Zhou University Publishing House, Zheng-Zhou2002: 502-504
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© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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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.
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- 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.
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