Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy.

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

Anaesthesia

journal_title

Anaesthesia

authors

Bein B,Yan M,Tonner PH,Scholz J,Steinfath M,Dörges V

doi

10.1111/j.1365-2044.2004.03967.x

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1207-9

issue

12

eissn

0003-2409

issn

1365-2044

pii

ANA3967

journal_volume

59

pub_type

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