Endobronchial intubation and scapel‐bougie technique

Parker Flex‐Tip or standard tracheal tube for percutaneous emergency airway access?

“…The benefits of slightly earlier oxygenation using this technique need to be balanced by the potential risks. The incorrect use of a high‐pressure oxygen source for re‐oxygenation through an airway exchange catheter can cause barotrauma, leading to fatal consequences.† It is essential not to advance the bougie or the tracheal tube beyond the carina, and these devices should be held or secured in order to prevent migration beyond or out of the trachea . Caution is also required during jet ventilation to maintain a patent airway for the egress of gas and to prevent over‐vigorous insufflation of oxygen.…”

Scalpel‐bougie cricothyroidotomy

“…Accidental endobronchial intubation and shallow tube place‐ment have been reported following scalpel‐bougie cricothyroidotomy with a 6.0‐mm tracheal tube . This is unlikely using the Melker catheter as it has a total length of 9.0 mm and is designed for placement following percutaneous cricothyroidotomy.…”