Cite this post as:
Scott Weingart, MD FCCM. Bougie-Aided Cricothyrotomy by Darren Braude. EMCrit Blog. Published on April 13, 2010. Accessed on August 16th 2022. Available at [https://emcrit.org/emcrit/bougie-aided-cric/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: April 13, 2010
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
You finished the 'cast,
Now Join EMCrit!
As a member, you can...
- Get CME hours
- Get the On Deeper Reflection Podcast
- Support the show
- Write it off on your taxes or get reimbursed by your department
.
Get the EMCrit Newsletter
If you enjoyed this post, you will almost certainly enjoy our others. Subscribe to our email list to keep informed on all of the Resuscitation and Critical Care goodness.
This Post was by the EMCrit Crew, published 12 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.
Hi, I just did my first cricothyrotomy and I REALLY want to thank you Dr Weingart for posting this video, and I also want to thank Dr Braude for his MUST READ book “Rapid Sequence Intubation and Rapid Sequence Airway: An Airway 911 Guide” and Dr Billy Melon for the cric hands-on practice session at the last Essentials! To make a long story short, I had to go on the floors this evening to evaluate a patient who had develop an hoarse voice and a progressive stridor over the day (god knows why for now except that he was extubated… Read more »
hey Scott,
Just wondering given the time critical nature of a surgical cric in a CICV scenario do you think it would be useful and practical to have your boogie preloaded with your size 6 ETT before using it? My thinking would be that the ETT would be pre-loaded but not near the distal end of the bougie so you could still feel the tracheal anatomy with it. Soon as you are comfortable you are in the right place you could then just slide the ETT down it into the airway.
Thoughts?
I like the maneuverability of an unburdened bougie. Not sure how much I gain by the preload. However I don’t see any reason it would not work.
yep agree, the maneuverbility of a preloaded bougie might be an issue with conventional bougie use from mouth to trachea but with the short distances involved in a surgical cric thought would be a non issue and might save some time.