Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening
Joint Authors
Piraccini, Emanuele
Corso, Ruggero Massimo
Shollik, Nabil A.
Ibrahim, Sami M.
Agnoletti, Vanni
Ismael, Ahmed
Source
Case Reports in Anesthesiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Shollik, Nabil A.& Ibrahim, Sami M.& Ismael, Ahmed& Agnoletti, Vanni& Piraccini, Emanuele& Corso, Ruggero Massimo. 2012. Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening. Case Reports in Anesthesiology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-461407
Modern Language Association (MLA)
Shollik, Nabil A.…[et al.]. Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening. Case Reports in Anesthesiology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-461407
American Medical Association (AMA)
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. Case Reports in Anesthesiology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-461407
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461407