Equipment 8-072 - Bougie

CMH EMS & MIH Protocols

Scope of Practice:

Registered Nurse
Paramedic

Indications:

Contraindications:

Age less than 8 years.
Use of a 6.0 or smaller ET tube.

Precautions:

None.

Procedure:

Lubricate Bougie.
Using a Laryngoscope and standard ET intubation techniques, attempt to visualize the vocal cords. If vocal cords are not fully visible, pass Bougie behind the epiglottis, guiding the tip of the Bougie anteriorly towards the trachea.

Tracheal placement will yield the ability to feel cricoids rings and resistance at the carina.
Esophageal placement will yield the ability to advance Bougie completely without resistance.

While maintaining the Laryngoscope and Bougie in position, an assistant threads an ET tube over the end of the Bougie. The assistant then holds the Bougie.
Rotate ET tube one-quarter turn and advance through cords.
Inflate ET cuff, remove Bougie and Laryngoscope.
Confirm placement with auscultation and Capnography.

Citations:

Protocol 9-010 - References

Change Log:

Date	Link to previous version	Description of change
07/04/20		Renumbered the section to allow for future additions.
07/12/20	pdf	Added content (without substantive modification) from old Section 8-030 - Bougie.
06/11/21	pdf	Moved to emsprotocols.online

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