Ponnusamy T, et al. - Focusing on pharyngolaryngeal morbidities, researchers compared the practice of railroading a newly described modified reinforced silicone tracheal tube with a built-in guide channel in its wall over a non-kinking guidewire with railroading the same tube over a disposable bougie. Voice parameters (fundamental frequency, shimmer, jitter and harmonic noise ratio) with vowels ‘a’ and ‘i’ were analyzed pre-operatively and 24 h postoperatively among ASA 1 and 2 adults randomly assigned to undergo bougie-guided or wire-guided intubation under general anaesthesia. In the bougie group vs wire-guided group, a higher incidence of pharyngolaryngeal complaints was reported. Comparison with the pre-operative value, postoperatively recorded voice parameters were found to be significantly more affected in the bougie-guided group, but such an impact was not visible in the wire-guided group. The success of first-attempt intubation was similar in both groups.