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Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening
Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a righ...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437278/ https://www.ncbi.nlm.nih.gov/pubmed/22973524 http://dx.doi.org/10.1155/2012/297306 |
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author | Shollik, Nabil A. Ibrahim, Sami M. Ismael, Ahmed Agnoletti, Vanni Piraccini, Emanuele Corso, Ruggero Massimo |
author_facet | Shollik, Nabil A. Ibrahim, Sami M. Ismael, Ahmed Agnoletti, Vanni Piraccini, Emanuele Corso, Ruggero Massimo |
author_sort | Shollik, Nabil A. |
collection | PubMed |
description | Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a right modified radical mastectomy for infiltrating ductal carcinoma (15 mm mouth opening, a short thick neck, limited neck extension, and a Mallampati class 4 airway), the Bonfils was advanced via the retromolar technique. In the second patient, a 34-year-old male, scheduled for a surgical tracheotomy for right tonsillar cancer, due to a neoplastic infiltration of the right temporomandibular joint (7 mm mouth opening and limited neck movement), the Bonfils was advanced using the midline approach. The Bonfils is a reusable, rigid, straight fiberoptic device with a curved tip, is 5 mm in diameter, and has several advantages: it is quick and easy to use, more cost effective than a flexible fiberscope, and is safe in expert hands, thanks to its smaller diameter. Our conclusion is that awake BIF intubation is a reliable, atraumatic, and well-tolerated procedure to secure a safe airway in patients with a limited mouth opening. |
format | Online Article Text |
id | pubmed-3437278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-34372782012-09-12 Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening Shollik, Nabil A. Ibrahim, Sami M. Ismael, Ahmed Agnoletti, Vanni Piraccini, Emanuele Corso, Ruggero Massimo Case Rep Anesthesiol Case Report Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a right modified radical mastectomy for infiltrating ductal carcinoma (15 mm mouth opening, a short thick neck, limited neck extension, and a Mallampati class 4 airway), the Bonfils was advanced via the retromolar technique. In the second patient, a 34-year-old male, scheduled for a surgical tracheotomy for right tonsillar cancer, due to a neoplastic infiltration of the right temporomandibular joint (7 mm mouth opening and limited neck movement), the Bonfils was advanced using the midline approach. The Bonfils is a reusable, rigid, straight fiberoptic device with a curved tip, is 5 mm in diameter, and has several advantages: it is quick and easy to use, more cost effective than a flexible fiberscope, and is safe in expert hands, thanks to its smaller diameter. Our conclusion is that awake BIF intubation is a reliable, atraumatic, and well-tolerated procedure to secure a safe airway in patients with a limited mouth opening. Hindawi Publishing Corporation 2012 2012-08-21 /pmc/articles/PMC3437278/ /pubmed/22973524 http://dx.doi.org/10.1155/2012/297306 Text en Copyright © 2012 Nabil A. Shollik et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Shollik, Nabil A. Ibrahim, Sami M. Ismael, Ahmed Agnoletti, Vanni Piraccini, Emanuele Corso, Ruggero Massimo Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title | Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title_full | Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title_fullStr | Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title_full_unstemmed | Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title_short | Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening |
title_sort | use of the bonfils intubation fiberscope in patients with limited mouth opening |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437278/ https://www.ncbi.nlm.nih.gov/pubmed/22973524 http://dx.doi.org/10.1155/2012/297306 |
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