Use of the Bonfils Intubation Fiberscope in patients with limited mouth opening
Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a right modified radical mastectomy for infiltrating ductal carcinoma (15 mm mouth opening, a short thick neck, limited neck extension, and a Mallampati class 4 airway), the Bonfils was advanced via the retromolar technique. In the second patient, a 34-year-old male, scheduled for a surgical tracheotomy for right tonsillar cancer, due to a neoplastic infiltration of the right temporomandibular joint (7 mm mouth opening and limited neck movement), the Bonfils was advanced using the midline approach. The Bonfils is a reusable, rigid, straight fiberoptic device with a curved tip, is 5 mm in diameter, and has several advantages: it is quick and easy to use, more cost effective than a flexible fiberscope, and is safe in expert hands, thanks to its smaller diameter. Our conclusion is that awake BIF intubation is a reliable, atraumatic, and well-tolerated procedure to secure a safe airway in patients with a limited mouth opening.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2012 |
|---|---|
| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:2012 |
|---|---|
| Enthalten in: |
Case reports in anesthesiology - 2012(2012) vom: 01., Seite 297306 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Shollik, Nabil A [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 14.09.2012 Date Revised 21.10.2021 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1155/2012/297306 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM220986452 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM220986452 | ||
| 003 | DE-627 | ||
| 005 | 20231224050737.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2012 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1155/2012/297306 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0736.xml |
| 035 | |a (DE-627)NLM220986452 | ||
| 035 | |a (NLM)22973524 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Shollik, Nabil A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Use of the Bonfils Intubation Fiberscope in patients with limited mouth opening |
| 264 | 1 | |c 2012 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 14.09.2012 | ||
| 500 | |a Date Revised 21.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a right modified radical mastectomy for infiltrating ductal carcinoma (15 mm mouth opening, a short thick neck, limited neck extension, and a Mallampati class 4 airway), the Bonfils was advanced via the retromolar technique. In the second patient, a 34-year-old male, scheduled for a surgical tracheotomy for right tonsillar cancer, due to a neoplastic infiltration of the right temporomandibular joint (7 mm mouth opening and limited neck movement), the Bonfils was advanced using the midline approach. The Bonfils is a reusable, rigid, straight fiberoptic device with a curved tip, is 5 mm in diameter, and has several advantages: it is quick and easy to use, more cost effective than a flexible fiberscope, and is safe in expert hands, thanks to its smaller diameter. Our conclusion is that awake BIF intubation is a reliable, atraumatic, and well-tolerated procedure to secure a safe airway in patients with a limited mouth opening | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Ibrahim, Sami M |e verfasserin |4 aut | |
| 700 | 1 | |a Ismael, Ahmed |e verfasserin |4 aut | |
| 700 | 1 | |a Agnoletti, Vanni |e verfasserin |4 aut | |
| 700 | 1 | |a Piraccini, Emanuele |e verfasserin |4 aut | |
| 700 | 1 | |a Corso, Ruggero Massimo |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Case reports in anesthesiology |d 2011 |g 2012(2012) vom: 01., Seite 297306 |w (DE-627)NLM217895859 |x 2090-6382 |7 nnns |
| 773 | 1 | 8 | |g volume:2012 |g year:2012 |g day:01 |g pages:297306 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1155/2012/297306 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 2012 |j 2012 |b 01 |h 297306 | ||