TY - CHAP M1 - Book, Section TI - Bougie-Assisted Intubation A1 - White, Steven J. A1 - High, Kevin A1 - Stack, Lawrence B. A1 - Levitan, Richard M. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - The Eschmann Stylet, also known as a “gum elastic bougie” or simply “bougie,” is a 60-cm long, flexible introducer that is designed to assist intubation of the anterior larynx, especially those with an “epiglottis-only” view. The tip of the bougie has an anterior fixed flexion with an angle of 40 degrees to facilitate entering an anterior glottic opening (see Fig. 22.43). Using a laryngoscope, one obtains the best view possible of the glottic opening. In the case of limited glottic view (see Fig. 22.44), the bougie is inserted such that the tip is introduced just under the epiglottis and probes for the glottic opening (see Fig. 22.45). The intubator should feel a tactile “pop” as the bougie enters the trachea, and he or she may also have a tactile sensation of “speed bumps” as the bougie is advanced and tracks across the tracheal cartilaginous rings (see Fig. 22.46). However, the more sensitive indicator of tracheal bougie position is the resistance encountered as the tip abuts against the carina, at approximately 27 to 30 cm. Should the bougie be inserted into the esophagus, no such endpoint is encountered. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181051730 ER -