Bougie Use and First-Pass Intubation Success in the Emergency Department

With great interest, we read the recent article by Driver et al1 assessing the association of bougie use with first-pass intubation success in the emergency department. They showed that bougie use was associated with increased first-pass intubation success, but with prolonged median first-attempt duration. In addition to the limitations described in the "Discussion" section of their article, we noted other issues in this study that were not well addressed.

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