Bullard Help

[DrAconian]

---

Members do not see this ad.

I've tried using the Bullard three times and have bombed each time - these were all in folks with easy airways that didn't require any toys but I was using it to practice. I find that once i get the blade in and have a look through the scope all I see is pink and I'm totally lost and no amount of re-positioning helps me.

The times I've attempted to use the Bullard have been with an attending who, though is supportive, really isn't a fan of the Bullard so the direction is pretty minimal.

Any piece of advice would be helpful at this point - just want to get to the point that I'm comfortable to use it if I HAVE to.

Txs.

 

[Noyac]

Don't lift just rotate.

 

[dfk]

you can also modify it like this:
don't use the tube setup as if you were gonna do traditional bullard.
stylette a tube similar to glide scope.
once you have bullard scope in, and see what you need to in view,
take the styletted tube and insert like you would with glide/laryngoscope (lateral to the bullard), and proceed as such.
it takes a bit of getting used to, but does work.

 

[Noyac]

you can also modify it like this:
don't use the tube setup as if you were gonna do traditional bullard.
stylette a tube similar to glide scope.
once you have bullard scope in, and see what you need to in view,
take the styletted tube and insert like you would with glide/laryngoscope (lateral to the bullard), and proceed as such.
it takes a bit of getting used to, but does work.

That doesn't work as well as using the bullard like it is designed to be used.

 

[dfk]

That doesn't work as well as using the bullard like it is designed to be used.

i guess in your opinion.

i was merely offering another way.
others feel the same way as i do about
the lack of user-friendliness of the bullard.

maybe you can hold off a bit on knocking ideas down
that don't seem to conform to your thinking.

what works for one may not work for others.

 

[urge]

The bullard sucks.

/thread.

 

[Noyac]

i guess in your opinion.

i was merely offering another way.
others feel the same way as i do about
the lack of user-friendliness of the bullard.

maybe you can hold off a bit on knocking ideas down
that don't seem to conform to your thinking.

what works for one may not work for others.

Sensitive?

 

[dfk]

The bullard sucks.

/thread.

👍

 

[CambieMD]

The bullard sucks.




The Bullard has to be seated properly. Once it is seated properly you should be able to pull up and the cords should be in view. The ETT should be loaded with the murphys eye medial to the stylet. This prevents the ETT from getting caught on the Rt arytenoid.


Cambie

 

[Intrathecal]

Anyone here use the Bullard routinely without the extension tip? It seems like it adds too much bulk to the tip and makes it a little more difficult to place in the oropharynx, plus I have read incidences where the tip has gotten dislodged and was left in the hypopharynx and unrecognized by the anesthesia provider.

So the question is, does the extension tip help?

 

[Fastrach]

Sorry, but when the f*ck will you ever "have to" use a Bullard? Last time I opened up that case of junk and blew the dust off it, my staff that day just about laughed me out of the room. With the advent of so many other fiberoptic/LCD devices, he told me, there is absolutely no scenario where it would be the go-to device for airway management. This staff is a very well-known and respected airway guy too, btw.

 

[Noyac]

Sorry, but when the f*ck will you ever "have to" use a Bullard? Last time I opened up that case of junk and blew the dust off it, my staff that day just about laughed me out of the room. With the advent of so many other fiberoptic/LCD devices, he told me, there is absolutely no scenario where it would be the go-to device for airway management. This staff is a very well-known and respected airway guy too, btw.

I think your staff is right on. But when I trained, we didn't have all the new gizmos you have today.

 

[CambieMD]

Anyone here use the Bullard routinely without the extension tip? It seems like it adds too much bulk to the tip and makes it a little more difficult to place in the oropharynx, plus I have read incidences where the tip has gotten dislodged and was left in the hypopharynx and unrecognized by the anesthesia provider.

So the question is, does the extension tip help?

The plastic tip reduces possible soft tissue trauma. You have to make sure that it snaps in place.

Cambie