[An unexpected difficult intubation. Bonfils rigid fiberscope].
A solution to managing intubation difficulties during anaesthesia induction is described in this article. After two attempts at laryngoscopy had failed, endotracheal intubation was achieved by the combined use of a laryngoscope and the Bonfils rigid fiberscope. The successful technique involved two anaesthesiologists, one who displaced the patient's tongue to the left ventral part of the mouth with a laryngoscope and cleared the airway by suctioning, and one who accomplished the intubation using the Bonfils rigid fiberscope by following the blade of the laryngoscope to the larynx. After securing a good view of the vocal cords, the tube was successfully inserted into the trachea. The entire procedure of intubation was accomplished within 20 s.
Maybauer
M O
MO
Klinik für Anästhesiologie, Klinikum der Johannes Gutenberg Universität, Mainz.
Maier
S
S
Thierbach
A R
AR
D000465:Algorithms; D000769:Anesthesia, Inhalation; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal; D020704:Laryngoscopes; D007828:Laryngoscopy; D008297:Male; D008365:Manometry; D008875:Middle Aged; D019919:Prosthesis Implantation; D012121:Respiration, Artificial; D013396:Suction; D015051:Zygomatic Fractures / Q000601:surgery