Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Laschat, Michael; Kaufmann, Jost; Wappler, Frank

doi:10.1111/j.1460-9592.2009.03206.x

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…There are many case reports advocating the use of the Bonfils in children with difficult airway, especially in children with decreased intraoral space, where Bonfils has a distinct advantage over LMA, Glidescope VL, Airtraq and DL. [ 37 38 ] The literature in relation to use of Bonfils fiberscope has been summarized in Table 4 .…”

Section: Literature Appraisal and Current Evidencementioning

confidence: 99%

Evolution of videolaryngoscopy in pediatric population

Gupta¹,

Sharma²,

Gupta³

2021

Journal of Anaesthesiology Clinical Pharmacology

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Direct laryngoscopy has remained the sole method for securing airway ever since the inception of endotracheal intubation. The recent introduction of video-laryngoscopes has brought a paradigm shift in the pratice of airway management. It is claimed that they improve the glottic view and first pass success rates in adult population. The airway management in children is more challenging than adults. The role of videolaryngoscopy for routine intubation in children is not clearly proven. This review attempts to discuss various videolaryngosocpes available for use in pediatric patients.

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Section: Literature Appraisal and Current Evidencementioning

confidence: 99%

Evolution of videolaryngoscopy in pediatric population

Gupta¹,

Sharma²,

Gupta³

2021

Journal of Anaesthesiology Clinical Pharmacology

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“…There have been isolated reports of the use of the Bonfils as a rescue device in difficult intubation of small babies. This includes a case of a neonate with mandibular hypoplasia and large tongue , and an 18‐month‐old boy with partial trisomy 1 mosaic . The authors of these reports highlighted the ease of use of this instrument in small babies, and the atraumatic nature of the device.…”

Section: Discussionmentioning

confidence: 99%

Use of the Bonfils intubating fibrescope in a baby with a severely compromised airway

Krishnan

Thiessen

2013

Pediatric Anesthesia

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We report the successful use of a 2-mm rigid Bonfils intubation endoscope as a rescue device in a 5-week-old baby presenting with an unstable airway due to massive macroglossia and multiple hemorrhagic lymphangiomata compressing the airway and resulting in a Cormack and Lehane grade 4 view. The limited intraoral space rendered it impossible to visualize the laryngeal inlet or insert a laryngeal mask, Glidescope or Airtraq blade into the patient's mouth. A 2-mm Bonfils fibrescope passed easily into the patient's mouth and facilitated a grade 1 view of the laryngeal inlet with subsequent successful intubation at first attempt with a 3.5-mm uncuffed endotracheal tube. There are very few alternatives to rescue such an airway in this age group with this type of pathology and surgical intervention would have been difficult due to the vascular nature of the lesion. Bonfils intubation endoscopes (Karl Storz Endoscopy, Tuttlingen, Germany) are a series of reusable devices consisting of a rigid metal tube with a fixed 40° anterior tip curvature containing a fibreoptic bundle. They are available in three sizes with outside diameters of 2, 3.5, or 5 mm. The advantage of the pediatric 2-mm Bonfils fibrescope is that it allows intubation with a 2.5-mm endotracheal tube. There is a paucity of the literature pertaining to the use of the Bonfils endoscope as a rescue device for intubation of small infants and neonates. In our case, the infant's airway was compromised as a result of a receding mandible, large protruding tongue, glottic distortion, and limited intraoral space. This prevented the use of bulkier rescue airway devices with the potential for traumatic manipulation, which could have lead to rapid deterioration of an already unstable airway. We feel that many clinicians are unaware of the benefits of the Bonfils fibrescope and suggest further studies to increase its use in elective and emergency situations.

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“…The use of the Bonfils in children with difficult airways has been advocated in a sample of case reports where it has provided successful intubation where other instruments have failed [44][45][46]. One case commented specifically on the benefit of using the Bonfils over conventional direct laryngoscopy, LMA, GlideScope® VL and Airtraq in children with reduced intraoral space due to the narrow, rigid stylet [46].…”

Section: Clinical Evidencementioning

confidence: 99%

Videolaryngoscopes in Paediatric Anaesthesia

Wallace

Engelhardt

2015

Curr Treat Options Peds

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The use of videolaryngoscopy is an ever expanding and developing branch of both routine and advanced airway management. An array of 'tried and tested' videolaryngoscopes is increasingly being used routinely in adults. However, due to the anatomical differences between adults and children, the proposed benefits are not readily transferrable without supporting evidence. With an increase in paediatric-sized equipment, the last 10 years has seen a rise in the number of relevant clinical investigations in the use of videolaryngoscopes for paediatric airway management. This narrative review focuses on videolaryngoscopes currently available for paediatric patients. The supporting literature is analyzed for their clinical use and effectiveness.

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Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Cited by 7 publications

References 4 publications

Evolution of videolaryngoscopy in pediatric population

Evolution of videolaryngoscopy in pediatric population

Use of the Bonfils intubating fibrescope in a baby with a severely compromised airway

Videolaryngoscopes in Paediatric Anaesthesia

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