Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report
Difficult airway management poses a great challenge for clinicians, especially if it is unanticipated. Numerous guidelines and a wide array of devices constitute the anesthesiologist’s armamentarium for managing the airway. When the use of individual devices fails, the use of combination techniqu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/444002 |
| _version_ | 1797206372784275456 |
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| author | Marina Kljaković-Gašpić Batinjan Igor Vlatković Karlo Vidović Renata Curić Radivojević Željko Čolak |
| author_facet | Marina Kljaković-Gašpić Batinjan Igor Vlatković Karlo Vidović Renata Curić Radivojević Željko Čolak |
| author_sort | Marina Kljaković-Gašpić Batinjan |
| collection | DOAJ |
| description | Difficult airway management poses a great challenge for clinicians, especially if it is
unanticipated. Numerous guidelines and a wide array of devices constitute the anesthesiologist’s armamentarium
for managing the airway. When the use of individual devices fails, the use of combination
techniques is advised. We present a case of difficult intubation in a 50-year-old male patient scheduled
for aortic valve replacement. He had no prior history of difficult airway management, and no abnormalities
were detected on preoperative airway assessment. Body mass index was 29 kg/m2. After the
separate use of direct laryngoscopy, videolaryngoscopy and a BONFILS intubation endoscope (BIE)
had failed, we resorted to a combination technique, combining videolaryngoscopy and BIE. While the
videolaryngoscope provided the space needed for BIE and visual guidance through copious secretions,
the BIE served as a stylet for endotracheal tube guidance, leading to successful intubation. Since the
technique requires costly equipment, experience in handling it and at least two operators, it is more
appropriate as a rescue measure than an elective procedure. Given the potentially disastrous outcomes of
failed intubation, mastering advanced airway management techniques remains of vital importance, and
the combination technique is one of them. |
| first_indexed | 2024-04-24T09:05:58Z |
| format | Article |
| id | doaj.art-3f3847316e5f47568c03c1c490871e7b |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:05:58Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-3f3847316e5f47568c03c1c490871e7b2024-04-15T18:51:22ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.Supplement 114915210.20471/acc.2023.62.s1.20Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case ReportMarina Kljaković-Gašpić Batinjan0Igor Vlatković1Karlo Vidović2Renata Curić Radivojević3Željko Čolak4Department of Anesthesiology, Resuscitation, Intensive Medicine and Pain Therapy, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation, Intensive Medicine and Pain Therapy, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation, Intensive Medicine and Pain Therapy, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation, Intensive Medicine and Pain Therapy, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation, Intensive Medicine and Pain Therapy, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDifficult airway management poses a great challenge for clinicians, especially if it is unanticipated. Numerous guidelines and a wide array of devices constitute the anesthesiologist’s armamentarium for managing the airway. When the use of individual devices fails, the use of combination techniques is advised. We present a case of difficult intubation in a 50-year-old male patient scheduled for aortic valve replacement. He had no prior history of difficult airway management, and no abnormalities were detected on preoperative airway assessment. Body mass index was 29 kg/m2. After the separate use of direct laryngoscopy, videolaryngoscopy and a BONFILS intubation endoscope (BIE) had failed, we resorted to a combination technique, combining videolaryngoscopy and BIE. While the videolaryngoscope provided the space needed for BIE and visual guidance through copious secretions, the BIE served as a stylet for endotracheal tube guidance, leading to successful intubation. Since the technique requires costly equipment, experience in handling it and at least two operators, it is more appropriate as a rescue measure than an elective procedure. Given the potentially disastrous outcomes of failed intubation, mastering advanced airway management techniques remains of vital importance, and the combination technique is one of them.https://hrcak.srce.hr/file/444002Airway managementAnesthesiaAortic valveBody mass indexIntubation, intratrachealLaryngoscopy |
| spellingShingle | Marina Kljaković-Gašpić Batinjan Igor Vlatković Karlo Vidović Renata Curić Radivojević Željko Čolak Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report Acta Clinica Croatica Airway management Anesthesia Aortic valve Body mass index Intubation, intratracheal Laryngoscopy |
| title | Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report |
| title_full | Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report |
| title_fullStr | Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report |
| title_full_unstemmed | Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report |
| title_short | Combined Use of Videolaryngoscope and Bonfils Intubation Endoscope as Rescue Option for Difficult Airway Management: A Case Report |
| title_sort | combined use of videolaryngoscope and bonfils intubation endoscope as rescue option for difficult airway management a case report |
| topic | Airway management Anesthesia Aortic valve Body mass index Intubation, intratracheal Laryngoscopy |
| url | https://hrcak.srce.hr/file/444002 |
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