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===[[Advanced Airway]] Adjuncts Chart===
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Airway Adjunct'''
| align="center" style="background:#f0f0f0;"|'''Examples'''
| align="center" style="background:#f0f0f0;"|'''Pros'''
| align="center" style="background:#f0f0f0;"|'''Cons'''
|-
| Endotracheal tube introducer|| [[Bougie|Gum elastic bougie]]
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*Higher first pass success when used with direct laryngscope vs. styletted ET tube regardless of whether difficult airway was expected or not<ref>Driver, B. E., Prekker, M. E., Klein, L. R., Reardon, R. F., Miner, J. R., Fagerstrom, E. T., … Cole, J. B. (2018). Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA: The Journal of the American Medical Association, 319(21), 2179–2189.</ref>
*Can pass blind and confirm tracheal placement with tracheal clicks and hold-up sign
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*Success rates likely depend on operator familiarity with device
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| Lighted optical stylets||
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*High success rate - especially good for trauma, c-spine precautions 
*Use for both reg and nasotrach 
*Lower complication rate
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*Limited by fogging, secretion, recognition of anatomy, cost, and rare provider experience
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| [[Supraglottic airway]]||LMA
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*Easy to place
*Can be placed quickly
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*Does not protect against aspiration
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| Esophogeal obturator||Combitube
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*Good for nurses and paramedics with limited intubation skill 
*Indicated if difficult airway predicted: cannot see glottis with laryngoscope 
*Reduced risk for aspiration compared to face mask or LMA *Can maintain spinal immobilization
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*Large size predisposes to esophogeal dilatation and laceration as a complication
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| [[Pediatric jet ventilation]]
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*Prefered over cricothyrotomy in children up to age 10-12 
*Oxygenates well 
*Can use for 30-45 min
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*Can retain CO2 
*May cause pneumothorax or barotrauma
|}