title: Awake tracheal intubation in a patient with a supraglottic mass with the Bonfils fibrescope after failed attempts with a flexible fibrescope.
abstract: Awake intubation with a flexible fibrescope is usually done electively in patients with a known difficult airway. Herein, we describe the case of an elective awake tracheal intubation that was performed on a patient with a large, obstructive supraglottic mass. The intubation was successfully performed using the Bonfils fibrescope after several failed attempts with a flexible fibrescope. This case highlights the usefulness of the Bonfils fibrescope and the limitations of the flexible fibrescope in certain clinical situations.
authors.affiliation: Department of Anaesthesia, Singapore General Hospital, Singapore.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Liew
authors.affiliation: Department of Anaesthesia, Singapore General Hospital, Singapore.
authors.forename: Xin Fang
authors.initials: XF
authors.lastname: Leong
authors.affiliation: Department of Anaesthesia, Singapore General Hospital, Singapore.
authors.forename: Theodore
authors.initials: T
authors.lastname: Wong
mesh_terms: D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D007822:Laryngeal Neoplasms / Q000175:diagnosis*; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D014132:Trachea; D014139:Tracheostomy / Q000379:methods; D014851:Wakefulness
keywords: Bonfils; difficult airway; flexible fibrescope; oropharyngeal cancer