The role of tracheal tube introducers and stylets in current airway management.

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_5E230F8A2D41
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The role of tracheal tube introducers and stylets in current airway management.
Journal
Journal of clinical monitoring and computing
Author(s)
Grape S., Schoettker P.
ISSN
1573-2614 (Electronic)
ISSN-L
1387-1307
Publication state
Published
Issued date
06/2017
Peer-reviewed
Oui
Volume
31
Number
3
Pages
531-537
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Tracheal tube introducers and stylets are highly successful devices for the management of various airway scenarios. Their first-line use is advocated in many difficult airway algorithms. Although they have been used for decades, the shape and design of introducers and stylets as well as their patterns of use are constantly evolving. Our purpose is to provide the clinician with an update on these different devices. We performed a systematic literature search from 2005 until May 2015, without language restrictions. The two authors independently retrieved all studies with the keywords "bougie", "gum elastic bougie", "stylet", "airway management", "tracheal tube introducer" and "extubation catheter". Our search did yield mostly observational and retrospective studies with small case numbers. The data was synthesized into a narrative review to provide the clinician with an update on the characteristics, indications and techniques of use as well as the dangers of different intubation aids. Today, numerous tracheal tube introducers and stylets exist with different indications, ranging from general to specific situations. Anesthetists should be familiar with the different devices, their characteristics and indications in order to use the right device at the right time in the right way.

Keywords
Airway Extubation/instrumentation, Airway Extubation/methods, Airway Extubation/trends, Airway Management/instrumentation, Airway Management/methods, Airway Management/trends, Equipment Design, Equipment Failure Analysis, Evidence-Based Medicine, Forecasting, Humans, Intubation, Intratracheal/instrumentation, Intubation, Intratracheal/methods, Intubation, Intratracheal/trends, Laryngeal Masks, Treatment Outcome, Bougies, Difficult intubation, Intubation, Intubation aids, Stylets
Pubmed
Web of science
Create date
03/05/2016 17:54
Last modification date
20/08/2019 15:16
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