Bougie hold up

Intubation occurs on the right side of the mouth and the right sided leading edge of a beveled tracheal tube can get caught-up on right sided glottic structures when being advanced over a bougie. This can be managed by pulling back the tracheal tube and then rotating the beveled edge of the tube towards the midline with a 90 degree counterclockwise turn. This is then followed by re-advancement of the tracheal tube over the bougie.

[@ellisrasmussen4193]

This happened to me last week. Wish I had seen this before. Switched a size down and still hold up. Rotation fixed it

[@MalluStyleMultiMedia]

cool

[@dennislynn2796]

Short, Sweet, Necessary