Boujie Use/Info

[Arctickat]

Perhaps they are reticent to permit you to use a piece of equipment when you are unable to spell its name properly, even after several subtle attempts to correct you? Here are some meanings for boujie,

http://www.urbandictionary.com/define.php?term=boujie

Here are some examples of endotracheal bougies.

http://www.metrohealthanesthesia.com/edu/a...asticBougie.htm

http://en.allexperts.com/q/Anesthesiology-...-Intubation.htm

http://www.healthsystem.virginia.edu/inter.../intubation.cfm

Please don't interpret this as a facetious remark, it is not meant to be. I simply want you to succeed in your attempt to obtain approval for such a device and presentation accounts for a significant portion. Consistently spelling the name of the device incorrectly indicates to those evaluating your research that you did none at all, otherwise it would be spelled correctly. Their next logical step would be to prohibit the device being used if even the medic who applied for it to be added could not be bothered to research it first.

Edit to correct multiple spelling and grammatical errors.

[Fireguy273]

Got it Thanks-I did email some sites to our Medical Control so I am sure that he gets what I am asking about. I just made some errors here.

http://www.sunmedusa.com/pg12.shtml

[Fireguy273]

Also thanks for the sites that were sent. Hopefully the additional information might give them more information toward what I am asking for. I also included a site on the previous post of the supplier our MedFlight uses to purchase the BOUGIE.

[Arctickat]

Just google the words "Bougie" and "intubate", you'll get dozens of sites, many with good research to back you. Take it from me..it took 2 years and submission of over 30 studies and 500 pages of documents all summarised to finally be allowed to use a transport ventilator. Even then, they wouldn't allow it for BLS use, even though studies confirmed BLS providers could oxygenate better when able to hold a vent mask with 2 hands vs. BVM with one during respiratory arrest.

[crotchitymedic1986]

Sorry, I will be the dumbass that asks the stupid question: How is this device superior to a regular stylette ?

[Fireguy273]

Check this article ( or the others that were posted above-they do good at describing it). The Bougie goes in w/o a tube - and then the ET goes over it once you have entered the airway.

http://www.metrohealthanesthesia.com/edu/a...asticBougie.htm

[crotchitymedic1986]

Oh thanks, I get it, this is another combitube for those who cant intubate a patient the normal way.

[p3medic]

Not even close to a combitube. Think extra long stylet, but more supple. The end has a small (1") portion with a slight angle to it. As it is inserted into the trachea the angled tip bounces off the tracheal rings, feels much different than the smooth esophagus. Also, the bougie will stop advancing at the carina, in the esophagus it generally doesn't stop. You can either insert the bougie into the trachea and pass a tube over it, or you can load a tube with it, leaving the last several inches beyond the end of the ETT.

It is usefull for grade 3 or 4 airways were you cannot visualize the glottis. It can also be inserted blindly, or digitally, again feeling for the "clicks" as it moves into the trachea.

[Dustdevil]

Oh thanks, I get it...

Apparently you don't, smartass.

[Doczilla]

Sorry, I will be the dumbass that asks the stupid question: How is this device superior to a regular stylette ?

Use it, in a training environment where someone knows how, and you will see.

'zilla