During a difficult pre-hospital intubation, the team uses a bougie to facilitate tube placement. The bougie is advanced but the clinician feels no tra...

Question

During a difficult pre-hospital intubation, the team uses a bougie to facilitate tube placement. The bougie is advanced but the clinician feels no tracheal clicks and there is no hold-up at 30 cm. What does this suggest?

Accepted Answer

The bougie is likely in the oesophagus

Answer

The patient has tracheomalacia

Answer

The bougie is correctly placed but the trachea is unusually wide

Answer

The bougie is in the left main bronchus

Answer

The bougie tip is above the vocal cords in the pharynx

uk-dipimc MCQ (SBA): Bougie Placement Confirmation

During a difficult pre-hospital intubation, the team uses a bougie to facilitate tube placement. The bougie is advanced but the clinician feels no tracheal clicks and there is no hold-up at 30 cm. What does this suggest?