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...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2012/297306 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849468233488269312 |
|---|---|
| author | Nabil A. Shollik Sami M. Ibrahim Ahmed Ismael Vanni Agnoletti Emanuele Piraccini Ruggero Massimo Corso |
| author_facet | Nabil A. Shollik Sami M. Ibrahim Ahmed Ismael Vanni Agnoletti Emanuele Piraccini Ruggero Massimo Corso |
| author_sort | Nabil A. Shollik |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-ffe7cb2f292348149b0ce2601e574398 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-ffe7cb2f292348149b0ce2601e5743982025-08-20T03:25:54ZengWileyCase Reports in Anesthesiology2090-63822090-63902012-01-01201210.1155/2012/297306297306Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth OpeningNabil A. Shollik0Sami M. Ibrahim1Ahmed Ismael2Vanni Agnoletti3Emanuele Piraccini4Ruggero Massimo Corso5Anesthesia Department, HMC-Weill Cornell Medical College, P.O. Box 24144, Doha, QatarAnesthesia Department, HMC-Weill Cornell Medical College, P.O. Box 24144, Doha, QatarAnesthesia Department, HMC-Weill Cornell Medical College, P.O. Box 24144, Doha, QatarAnaesthesia and Intensive Care Section, Department of Emergency, G.B. Morgagni-Pierantoni Hospital, viale Forlanini 34, 47100 Forlì, ItalyAnaesthesia and Intensive Care Section, Department of Emergency, G.B. Morgagni-Pierantoni Hospital, viale Forlanini 34, 47100 Forlì, ItalyAnaesthesia and Intensive Care Section, Department of Emergency, G.B. Morgagni-Pierantoni Hospital, viale Forlanini 34, 47100 Forlì, ItalyAirway 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.http://dx.doi.org/10.1155/2012/297306 |
| spellingShingle | Nabil A. Shollik Sami M. Ibrahim Ahmed Ismael Vanni Agnoletti Emanuele Piraccini Ruggero Massimo Corso Use of the Bonfils Intubation Fiberscope in Patients with Limited Mouth Opening Case Reports in Anesthesiology |
| 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 |
| url | http://dx.doi.org/10.1155/2012/297306 |
| work_keys_str_mv | AT nabilashollik useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening AT samimibrahim useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening AT ahmedismael useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening AT vanniagnoletti useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening AT emanuelepiraccini useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening AT ruggeromassimocorso useofthebonfilsintubationfiberscopeinpatientswithlimitedmouthopening |