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Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight).
Acta Anaesthesiol Scand. 2012 May; 56(5):565-70.AA

Abstract

BACKGROUND

Because the Bonfils fibrescope has a semi-rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination-assisted orotracheal intubation with the Bonfils fibrescope and the Trachlight(TM) lightwand in patients with normal airways.

METHODS

As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single-blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination-assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded.

RESULTS

Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P < 0.05). The mean intubation time for the first attempt was 15 ± 5 s with the Bonfils fibrescope and 9 ± 2 s with the Trachlight (P < 0.001). Patients intubated using the Bonfils fibrescope also experienced significantly more sore throat and hoarseness than those intubated using the Trachlight.

CONCLUSIONS

For patients with normal airways, the Trachlight is superior for orotracheal intubation with respect to reliability, rapidity, and safety compared with the Bonfils fibrescope used with the transillumination technique.

Authors+Show Affiliations

Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medicine Sciences and Peking Union Medical College, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22489991

Citation

Sui, J-H, et al. "Transillumination-assisted Orotracheal Intubation: a Comparison of the Bonfils Fibrescope and the Lightwand (Trachlight)." Acta Anaesthesiologica Scandinavica, vol. 56, no. 5, 2012, pp. 565-70.
Sui JH, Mao P, Liu JH, et al. Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight). Acta Anaesthesiol Scand. 2012;56(5):565-70.
Sui, J. H., Mao, P., Liu, J. H., Tong, S. Y., Wei, L. X., Yang, D., & Deng, X. M. (2012). Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight). Acta Anaesthesiologica Scandinavica, 56(5), 565-70. https://doi.org/10.1111/j.1399-6576.2011.02627.x
Sui JH, et al. Transillumination-assisted Orotracheal Intubation: a Comparison of the Bonfils Fibrescope and the Lightwand (Trachlight). Acta Anaesthesiol Scand. 2012;56(5):565-70. PubMed PMID: 22489991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight). AU - Sui,J-H, AU - Mao,P, AU - Liu,J-H, AU - Tong,S-Y, AU - Wei,L-X, AU - Yang,D, AU - Deng,X-M, PY - 2012/4/12/entrez PY - 2012/4/12/pubmed PY - 2012/8/10/medline SP - 565 EP - 70 JF - Acta anaesthesiologica Scandinavica JO - Acta Anaesthesiol Scand VL - 56 IS - 5 N2 - BACKGROUND: Because the Bonfils fibrescope has a semi-rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination-assisted orotracheal intubation with the Bonfils fibrescope and the Trachlight(TM) lightwand in patients with normal airways. METHODS: As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single-blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination-assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded. RESULTS: Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P < 0.05). The mean intubation time for the first attempt was 15 ± 5 s with the Bonfils fibrescope and 9 ± 2 s with the Trachlight (P < 0.001). Patients intubated using the Bonfils fibrescope also experienced significantly more sore throat and hoarseness than those intubated using the Trachlight. CONCLUSIONS: For patients with normal airways, the Trachlight is superior for orotracheal intubation with respect to reliability, rapidity, and safety compared with the Bonfils fibrescope used with the transillumination technique. SN - 1399-6576 UR - https://www.unboundmedicine.com/medline/citation/22489991/Transillumination_assisted_orotracheal_intubation:_a_comparison_of_the_Bonfils_fibrescope_and_the_lightwand__Trachlight__ L2 - https://doi.org/10.1111/j.1399-6576.2011.02627.x DB - PRIME DP - Unbound Medicine ER -