While keeping a firm grip on the endotracheal tube (ETT) so it is not dislodged, remove the tracheal tube introducer (bougie) and then restore oxygenation and ventilation. Once this is done, proper placement is confirmed and the ETT is secured. These are the final steps of the scalpel-finger-bougie technique of cricothyrotomy.
From: Johnston TM, Davis PJ. The occasional bougie‑assisted cricothyroidotomy. Can J Rural Med 2020; 25:41. DOI:
10.4103/CJRM.CJRM_50_19. Copyright © 2020 Society of Rural Physicians of Canada. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
