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Awake intubation with the Bonfils fibrescope in patients with difficult airway.
Eur J Anaesthesiol. 2009 Oct; 26(10):837-41.EJ

Abstract

BACKGROUND

In the majority of patients with difficult airways intubated using the Bonfils fibrescope, intubations have been performed under general anaesthesia. Our aim is to report a consecutive series of intubations on awake patients with anticipated difficult airways, performed using the Bonfils fibrescope.

METHODS

A prospective case series of intubations performed with the Bonfils fibrescope by a single anaesthesiologist is described in this article. Thirty patients with anticipated difficult airways were included (11 of them after failed intubations with Macintosh laryngoscope). Awake intubation attempts were performed under mild sedation and topical anaesthesia (with or without transcricothyroid membrane injection). The effectiveness was assessed in terms of success rate, number of attempts, difficulties, and complications encountered.

RESULTS

Overall, awake intubation was successful in 29 out of 30 patients (96.6%). In the predicted difficult airway group, 19 patients with anticipated difficult airways were included. Awake intubation with Bonfils fibrescope was successful in 18 out of 19 patients (94.7%). In the known failed intubation group, 11 patients were included; the airways of five of them had already been managed with flexible fibrescope. All patients were successfully intubated awake with the Bonfils fibrescope.

CONCLUSIONS

Our findings confirm that awake intubation with the Bonfils fibrescope is well tolerated and highly successful, even if performed by operators in training, and strengthen the evidence that the Bonfils fibrescope is one of the most promising devices to assist intubation in patients with difficult airways.

Authors+Show Affiliations

Department of Anesthesia and Intensive Care, Ospedale S. Maria dei Battuti, Conegliano, Italy. ulisse.md@mailcity.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19474737

Citation

Corbanese, Ulisse, and Clemente Possamai. "Awake Intubation With the Bonfils Fibrescope in Patients With Difficult Airway." European Journal of Anaesthesiology, vol. 26, no. 10, 2009, pp. 837-41.
Corbanese U, Possamai C. Awake intubation with the Bonfils fibrescope in patients with difficult airway. Eur J Anaesthesiol. 2009;26(10):837-41.
Corbanese, U., & Possamai, C. (2009). Awake intubation with the Bonfils fibrescope in patients with difficult airway. European Journal of Anaesthesiology, 26(10), 837-41. https://doi.org/10.1097/EJA.0b013e32832c6076
Corbanese U, Possamai C. Awake Intubation With the Bonfils Fibrescope in Patients With Difficult Airway. Eur J Anaesthesiol. 2009;26(10):837-41. PubMed PMID: 19474737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Awake intubation with the Bonfils fibrescope in patients with difficult airway. AU - Corbanese,Ulisse, AU - Possamai,Clemente, PY - 2009/5/29/entrez PY - 2009/5/29/pubmed PY - 2009/12/16/medline SP - 837 EP - 41 JF - European journal of anaesthesiology JO - Eur J Anaesthesiol VL - 26 IS - 10 N2 - BACKGROUND: In the majority of patients with difficult airways intubated using the Bonfils fibrescope, intubations have been performed under general anaesthesia. Our aim is to report a consecutive series of intubations on awake patients with anticipated difficult airways, performed using the Bonfils fibrescope. METHODS: A prospective case series of intubations performed with the Bonfils fibrescope by a single anaesthesiologist is described in this article. Thirty patients with anticipated difficult airways were included (11 of them after failed intubations with Macintosh laryngoscope). Awake intubation attempts were performed under mild sedation and topical anaesthesia (with or without transcricothyroid membrane injection). The effectiveness was assessed in terms of success rate, number of attempts, difficulties, and complications encountered. RESULTS: Overall, awake intubation was successful in 29 out of 30 patients (96.6%). In the predicted difficult airway group, 19 patients with anticipated difficult airways were included. Awake intubation with Bonfils fibrescope was successful in 18 out of 19 patients (94.7%). In the known failed intubation group, 11 patients were included; the airways of five of them had already been managed with flexible fibrescope. All patients were successfully intubated awake with the Bonfils fibrescope. CONCLUSIONS: Our findings confirm that awake intubation with the Bonfils fibrescope is well tolerated and highly successful, even if performed by operators in training, and strengthen the evidence that the Bonfils fibrescope is one of the most promising devices to assist intubation in patients with difficult airways. SN - 1365-2346 UR - https://www.unboundmedicine.com/medline/citation/19474737/Awake_intubation_with_the_Bonfils_fibrescope_in_patients_with_difficult_airway_ L2 - https://doi.org/10.1097/EJA.0b013e32832c6076 DB - PRIME DP - Unbound Medicine ER -