Abstract:
:Failed tracheal intubation due to a difficult airway is an important cause of anaesthetic morbidity and mortality. This study was undertaken to evaluate the effectiveness of the Bonfils intubation fibrescope for tracheal intubation after failed direct laryngoscopy. Twenty-five patients undergoing coronary artery bypass grafting were enrolled in the study after two attempts at conventional laryngoscopy by a board certified anaesthetist had failed. Intubation with the Bonfils fibrescope was successful on the first attempt in 22 patients (88%) and on the first or second attempt in 24 patients (96%); in one patient intubation was impossible. Median (IQR [range]) time to intubation using the Bonfils intubation fibrescope was 47.5 (30-80 [20-200]) s. Tracheal intubation using the Bonfils intubation fibrescope appears to be a simple and effective technique for the management of a difficult intubation.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Bein B,Yan M,Tonner PH,Scholz J,Steinfath M,Dörges Vdoi
10.1111/j.1365-2044.2004.03967.xsubject
Has Abstractpub_date
2004-12-01 00:00:00pages
1207-9issue
12eissn
0003-2409issn
1365-2044pii
ANA3967journal_volume
59pub_type
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