No external funding or competing interests declared.
All Bermans are not created equal
Article first published online: 5 FEB 2013
Anaesthesia © 2013 The Association of Anaesthetists of Great Britain and Ireland
Volume 68, Issue 3, pages 309–310, March 2013
How to Cite
Salih, T., Scott, H. and Hunningher, A. (2013), All Bermans are not created equal. Anaesthesia, 68: 309–310. doi: 10.1111/anae.12149
- Issue published online: 5 FEB 2013
- Article first published online: 5 FEB 2013
Modified oral airways can be used to facilitate fibreoptic intubation by providing an oropharyngeal conduit, by acting as an integral bite block to prevent damage to the ’scope and by facilitating bag-mask ventilation. The Berman Intubating Airway (commonly referred to as the Berman Airway) is recommended by the Difficult Airway Society for this purpose . This device was originally designed for blind orotracheal intubation, and allows for the plastic to be split, enabling the airway to be removed after intubation, thus minimising the risk of dislodging the tracheal tube.
During a recent fibreoptic intubation under anaesthesia, we noted that two different airways are both sold and packaged as a Berman Airway, only one of which – the Berman Intubating Airway – is suitable for use in fibreoptic intubation (Fig. 2). Conversely, the Berman Oropharyngeal Airway has a central bite block and small lateral channels to aid suction of the laryngopharynx.
We feel that the Berman Oropharyngeal Airway is obsolete, as we see no role for it in our anaesthetic practice in an age of single-use oropharyngeal airways. To avoid confusion, we suggest that the name ‘Berman’ should be removed from the Oropharyngeal Airway.