Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis

UpToDate

“…In a new systematic review and meta-analysis of 18 studies involving more than 9000 adult patients, use of an introducer was associated with a higher overall rate of successful first-pass intubation compared with no introducer (in most cases, a tracheal tube with a stylet). 1 First-pass success rates were higher using an introducer regardless of the method of intubation (i.e., direct versus video laryngoscopy) or where intubation was performed (e.g., emergency department, intensive care unit, prehospital). The introducer was most effective in patients (n=585 in five studies) with a Cormack-Lehane III or IV view.…”

Emergency airway management: an EUSEM statement with regard to the guidelines of the Society of Critical Care Medicine

“…For the best first-pass success, we generally recommend the use of a bougie as part of the primary intubation strategy [14].…”