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During endotracheal intubation, the vocal cords are not visible. Which instrument can help guide placement of the tube into the trachea?
Question

During endotracheal intubation, the vocal cords are not visible. Which instrument can help guide placement of the tube into the trachea?

A.

Laryngoscope blade only

B.

Bougie introducer (Eschmann stylet)

C.

Magill’s forceps

D.

Oropharyngeal airway

Correct option is B

A gum-elastic bougie is used when cords are not clearly visible. The bougie slides into trachea and endotracheal tube is railroaded over it.
Explanation of options: (a) ✘ Laryngoscope alone cannot help if cords are invisible. (b) ✔ Correct; bougie is used as introducer in difficult intubations. (c) ✘ Magill’s forceps are for NG tube guidance, not ET intubation. (d) ✘ Oropharyngeal airway prevents tongue fall, not tube placement.

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