title: 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.
authors.affiliation: Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 21, D-24105 Kiel, Germany. bein@anaesthesie.uni-kiel.de
authors.forename: B
authors.initials: B
authors.lastname: Bein
authors.forename: M
authors.initials: M
authors.lastname: Yan
authors.forename: P H
authors.initials: PH
authors.lastname: Tonner
authors.forename: J
authors.initials: J
authors.lastname: Scholz
authors.forename: M
authors.initials: M
authors.lastname: Steinfath
authors.forename: V
authors.initials: V
authors.lastname: Dörges
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy; D008875:Middle Aged; D013997:Time Factors; D017211:Treatment Failure