Flextip ETT introducer (boujie)

[Andrew J Bowman]

I carry one in my EMS kit, wonderful tool, much more rigid than the Foley
that was suggested but not too rigid to be ineffective at curving where you
want it to go. And easy to care for/use.

Andrew Bowman

----- Original Message ----- 
From: "Christopher Clarke (CMDHB)" <Chris.Clarke at middlemore.co.nz>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: Tuesday, August 29, 2006 5:20 PM
Subject: RE: Flextip ETT introducer (boujie)



Hi Dave;

Completely agree with all the comments on here..Get hold of a bugee ...If
you cannot easily get hold of on, give me your address and I will send you a
few in the post.

My personal e-mail addy is: Tigger4036 at yahoo.co.uk

Chris

Anaesthetic/Trauma ODP


________________________________

From: MARK FORREST [mailto:atacc.doc at btinternet.com]
Sent: Wed 30/08/2006 8:13 a.m.
To: Trauma &amp; Critical Care mailing list
Subject: Re: Flextip ETT introducer (boujie)



Hi Dave,
If you can get one, grab it and hang on!! This is probably the one piece of
additional kit that any UK anaesthetist would request if they had to choose.
So much so, that many colleagues use them almost as routine, both in
hospital and pre-hospital (HEMS in London, have always encouraged it's use
in all pre-hospital intubations). This will help you to intubate grade III
and IV intubations where you have 'no view' whatsoever, as it can be
advanced over and behind the epigglottis to the larynx that you cannot see.

This device really does make life far much easier, especially when the
larynx cannot be visualised or even when the cords can be seen but directing
the tube is difficcult (eg small mouth, lots of teeth etc). The bougie is
far more versatile than the stylet and we also have versions such as the
'Aintree catheter' (COOK) which is hollow and allows insufflation of oxygen
from a standard connector. This hollow device also allows passage of a
fibreoptic scope through it's core and this is often used when passing it
through a laryngeal mask. An ET tube can then be passed over the scope and
the catheter and through the LMA into the larynx...easy!! (or you can use it
as an exchange catheter, passing it through the LMA, then removing the LMA
and using the Aintree Cath as a guide for your ET tube into the
larynx.....this technique has virtually replaced awake fibre-optic
intubation in many elective difficult intubations and works in the ER as
well, as it is almost as easy blind
 without the scope.

Get yourself a bougie and carry it everywhere that you are likely to
intubate.....but, beware as there are some terrible, cheap and nasty plastic
versions which are hopeless.

Cheers
Mark F
Cons Anaes/Crit Care, UK


----- Original Message ----
From: David Sullivan <fpcems at yahoo.com>
To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org>
Sent: Tuesday, 29 August, 2006 1:28:25 PM
Subject: Flextip ETT introducer (boujie)


Hey all,

  I was wondering if there is any in/pre-hospital providers that use the
boujie (sp) for suspected difficult intubations? I did some recent training
with it, teaching in the paramedic program at Northeastern Univ in MA, Im
under the assumption that in MA its only approved for Umass medical center
EMS and Boston Medflight. Im thinking about doing a research project to see
the use of it as a back up device, when direct visualization is difficult or
impossible, or the use of it on a c-spine pt that needs intubation? Any
thoughts?

  dave sullivan BA NREMT-P


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