Universität zu Köln

Kaufmann, Jost ORCID: 0000-0002-5289-6465, Laschat, Michael, Engelhardt, Thomas, Hellmich, Martin and Wappler, Frank (2015). Tracheal intubation with the Bonfils fiberscope in the difficult pediatric airway: a comparison with fiberoptic intubation. Pediatr. Anesth., 25 (4). S. 372 - 379. HOBOKEN: WILEY. ISSN 1460-9592

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Abstract

BackgroundFiberoptic intubation (FOI) is the gold standard for the tracheal intubation in adults with a difficult airway. However, this technique is more difficult in the narrow pediatric airway and the evaluation of alternative devices in children remains desirable. The Bonfils fiberscope (BF) is well described for the difficult airway, but no clinical data assessing its use in the difficult pediatric airway are available. MethodsA controlled clinical study was conducted comparing BF and FOI in children and infants requiring tracheal intubation with a suspected difficult airway or who demonstrated a difficult airway which was unanticipated. Time to successful intubation, quality of imaging and ease of the intubation procedure were determined. ResultsA total of 26 patients (46% infants) were studied, and all successfully intubated at the first attempt using either the BF or FOI. Mouth opening was restricted in 38% of patients. Time required for intubation was shorter with the BF (5222s) compared with the FOI (83 +/- 24s, P=0.008). The image quality (excellent in 73% vs 45%, P=0.129) and the ease of the procedure (excellent in 67% vs18%, P=0.015) were considered better with BF than with FOI. ConclusionAlthough both the BF and FOI are suitable devices for the intubation of infants and children with difficult airways, the BF may allow faster tracheal intubation with a better image quality and ease of use.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kaufmann, Jost UNSPECIFIED orcid.org/0000-0002-5289-6465 UNSPECIFIED Laschat, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Engelhardt, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Wappler, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-403841
DOI:	10.1111/pan.12523
Journal or Publication Title:	Pediatr. Anesth.
Volume:	25
Number:	4
Page Range:	S. 372 - 379
Date:	2015
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1460-9592
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MANAGEMENT; CHILDREN; LARYNGOSCOPY; MECHANISMS; TUBE Multiple languages Anesthesiology; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40384