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Bougie Tracheal Placement Signs — FRCA Final MCQ

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EasyAirway ManagementBougie Tracheal Placement SignsFRCA Final

During a difficult intubation, the anaesthetist uses a bougie. The classic signs confirming tracheal placement of the bougie are:

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Correct answer: C — Clicks as bougie passes over tracheal rings and hold-up at a bronchus

Bougie tracheal placement confirmed by: (1) clicks as the tip passes over anterior tracheal cartilage rings, and (2) hold-up at approximately 30 cm (bronchial tree). Smooth passage without hold-up suggests oesophageal placement. These tactile signs are critical when the view is Grade 3-4.

Reference: DAS – 2025 – Tracheal intubation aids