Airway management

Flexible‐tip bougie vs. stylet for tracheal intubation with a hyperangulated videolaryngoscope in critical care: a randomised controlled trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

In the ICU, first-attempt tracheal intubation success with a hyperangulated blade videolaryngoscope was higher using the flexible-tip bougie than the stylet.

Study context

Population
Adults admitted to the ICU who required tracheal intubation40 female (29%)
Participants
140 adults
Comparison
Flexible-tip bougie vs Stylet
  • Flexible-tip bougien = 70
  • Styletn = 70reference
Primary endpoint
First-attempt tracheal intubation success

Primary result

As reported in the abstract

P = 0.005

Secondary outcomes

Intubation in two attempts

Intubation in three attempts

Laryngeal manipulation required

OutcomeFlexible-tip bougieStylet
Intubation rated not difficult or slightly difficult— not stated in the abstract90%

— not stated in the abstract

Safety

Complications

No significant difference between the two techniques

Original publication

Flexible‐tip bougie vs. stylet for tracheal intubation with a hyperangulated videolaryngoscope in critical care: a randomised controlled trial. Anaesthesia. Published 30 March 2025. doi:10.1111/anae.16574

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