{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T15:13:19Z","timestamp":1791126799979,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Bougie impingement during tracheal intubation can increases the likelihood of prolonged intubation time, failed intubation and airway trauma. A flexible tip bougie may overcome this problem, which can occur when using a non\u2010channelled, hyperangulated videolaryngoscope with a standard bougie. This randomised controlled study compared standard and flexible tip bougies using a non\u2010channelled videolaryngoscope (C\u2010MAC\u00ae D\u2010blade) in 160 patients. The primary outcome measure was the modified intubation difficulty scale score. Secondary outcome measures were: laryngoscopy time; total tracheal intubation time; first attempt success rate; and  postoperative sore throat verbal rating score. The median (IQR [range]) modified intubation difficulty scale scores for standard bougie and flexible tip bougie were 1 (0\u20132[0\u20135]) and 0 (0\u20131[0\u20133]), respectively (p\u2009=\u20090.001). There was no significant differences in laryngoscopy time, total tracheal intubation time, first attempt success rate and postoperative sore throat between the two groups. Both the flexible tip and standard bougies can be used with a high first attempt success rate for tracheal intubation using a C\u2010MAC D\u2010blade videolaryngoscope. The flexible tip bougie demonstrated a significantly better modified intubation difficulty scale score and lower incidence of bougie impingement.<\/jats:p>","DOI":"10.1111\/anae.15854","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T08:29:52Z","timestamp":1662452992000},"page":"1368-1375","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Standard and flexible tip bougie for tracheal intubation using a non\u2010channelled hyperangulated videolaryngoscope: a randomised comparison\n                    <sup>#<\/sup>"],"prefix":"10.1111","volume":"77","author":[{"given":"O.","family":"Oxenham","sequence":"first","affiliation":[{"name":"Department of Anaesthesia University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Pairaudeau","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University Hospital Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Moody","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Wolverhampton NHS Trust  Wolverhampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Mendonca","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University Hospital Coventry and Warwickshire NHS Trust  Coventry UK"},{"name":"University of Warwick  Warwick 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