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After the diverticulum is removed or suspended, the anesthesia care provider removes the bougie .
In practice, I try to present myself as a resource they can use, for example using a bougie at a difficult intubation, where their protocols do not allow them such, or using ketorolac (unavailable to paramedics) for analgesia.
In the past, surgeons used a rectal bougie to identify the rectum; however, this instrument no longer is used routinely.
The anesthesia care provider takes special care to ensure the removal of all esophageal tubes during insertion of sizing tubes, such as bougie dilators.
The anesthesia care provider removed the bougie dilator.
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