Bougies to increase first-pass intubation success

Meta-analysis says it helps, but would you use one every time?

Bougies (flexible tracheal tube introducers) are commonly used to facilitate endotracheal intubation, especially when the vocal cords and glottis are poorly seen. Their effectiveness and benefits may seem obvious to airway experts, but there has been limited evidence to support their use or best define the situations in which bougies are most helpful.

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