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Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy†

  1. B. Bein1,
  2. M. Yan1,5,
  3. P. H. Tonner2,
  4. J. Scholz4,
  5. M. Steinfath2,
  6. V. Dörges3

Article first published online: 18 NOV 2004

DOI: 10.1111/j.1365-2044.2004.03967.x

Issue

Anaesthesia

Anaesthesia

Volume 59, Issue 12, pages 1207–1209, December 2004

Additional Information

How to Cite

Bein, B., Yan, M., Tonner, P. H., Scholz, J., Steinfath, M. and Dörges, V. (2004), Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy. Anaesthesia, 59: 1207–1209. doi: 10.1111/j.1365-2044.2004.03967.x

Author Information

  1. 1

     Staff Member

  2. 2

     Professor

  3. 3

     Associate Professor

  4. 4

     Professor and Chair, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 21, D-24105 Kiel, Germany

  5. 5

     Current address: Department of Anaesthesiology, no. 2 Affiliated Hospital, Medical College, Zhejiang University, China

*Dr B. Bein E-mail: bein@anaesthesie.uni-kiel.de

  • †

    Presented in part at the American Society of Anaesthesiologists' Annual Meeting, Las Vegas: October 2004.

Publication History

  1. Issue published online: 18 NOV 2004
  2. Article first published online: 18 NOV 2004
  3. Accepted: 13 August 2004

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Keywords:

  • Intubation;
  • intratracheal;
  • laryngoscopy

Summary

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.

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