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Christopher L. Carroll, MD, FCCM, lead author of an article published in the May 2010 issue of Pediatric Critical Care Medicine, “Emergent Endotracheal Intubations in Children: Be Careful if it's Late When You Intubate,” which discusses the risks of emergent tracheal intubations in children.
Tracheal intubation is a high-risk procedure that is frequently performed in the emergency department and intensive care unit. Failure of first-pass success (FPS) when intubating has been shown to be associated with major adverse events, so maximizing FPS is paramount for improving patient outcomes. This Concise Critical Appraisal explores a study published in JAMA that sought to determine the effect of using a bougie (tracheal tube introducer) versus an endotracheal tube with stylet when intubating.