The tracheal tube introducer, or bougie, has outperformed the endotracheal tube and stylet in what is perhaps the first randomized clinical trial assessing its efficacy at first-attempt intubation. Although the results, published in JAMA (2018;319[21]:2179-2189), remain provisional, experts said these findings are intriguing and call for a multicenter trial to assess their generalizability to other emergency departments.
“[We] didn’t expect quite as significant of a difference as we