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I've never been able to insert the bougie through in an actual patient (no trouble in mannequins or without it being inserted). It always binds up and catches at the distal port. Did you do anything special with the patient?Bougie down through the main ventilation port on the King, deflate the cuff and pull the King while leaving the bougie in place, drop the ETT over the bougie, inflate the cuff, walla...good tube!!!