Airway management

Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

When difficult tracheal intubation is anticipated and a hyperangulated videolaryngoscope is used, the success rate of the first attempt is higher when a bougie is used compared with a stylet.

Study context

Population
Patients aged > 20 years scheduled for elective surgery under GA requiring tracheal intubation, with factors predicting difficult tracheal intubation
Participants
166 patients
Comparison
Bougie vs stylet as adjunct with a hyperangulated videolaryngoscope
  • Bougien = 83
  • Styletn = 83reference
Primary endpoint
Success rate of the first tracheal intubation attempt

Primary result

As reported in the abstract

P = 0.032

Secondary outcomes

Patients needing two attempts

P = 0.018

Intubation achieved after a third attempt

Safety

Sore throat, dysphagia and hoarseness

No significant difference between the two groups

Original publication

Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial. Anaesthesia. Published 19 December 2023. doi:10.1111/anae.16202

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