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BMC Anesthesiology
Published in: BMC Anesthesiology 1/2017

Open Access 01-12-2017 | Research article

A comparison of the transillumination-assisted technique versus midline approach technique in novices: a prospective randomized controlled trial about the Bonfils intubation fiberscope

Authors: Jian Wang, Lan Yuan, Guoqiang Fu, Wei Tang, Guijie Yu, Feng Guo, Jiangang Song

Published in: BMC Anesthesiology | Issue 1/2017

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Abstract

Background

The present study aimed to compare the safety and efficacy for novices to conduct intubation with the Bonfils intubation fiberscope (BIF) using the transillumination-assisted or midline approach technique in patients with normal airways.

Methods

In this prospective randomized control study, 10 trainees were assigned to the transillumination-assisted technique group (T group) or the midline approach technique group (R group). Each trainee was required to conduct intubation in 50 patients. The primary outcome was intubation time. The secondary outcomes were success rate (%), number of attempts, and complications.

Results

Among the cases of successful intubation, the intubation time was not significantly different between the two groups (P > 0.05). The overall success rate of intubation was not significantly different between the two groups (P > 0.05). The intubation success rates at the first, second, and third attempts as well as the average intubation times were similar between the two groups (P > 0.05), but in patients receiving successful intubation at the second attempt, the intubation time was longer in the T group (P = 0.0006). The incidences of dry throat, sore throat, and hoarseness were higher in the T group (all P < 0.05).

Conclusions

For patients with a normal airway, the transillumination-assisted technique was unlikely to increase the success rate of intubation with the BIF compared with the midline approach technique, but led to more complications.

Trial registration

ChiCTR-INR-16009967, retrospectively registered on November 22, 2016
Appendix
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Literature
1.
Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology. 1991;75:1087–110.CrossRefPubMed
2.
Lye ST, Liaw CM, Seet E, Koh KF. Comparison of results from novice and trained personnel using the Macintosh laryngoscope, Pentax AWS(R), C-MAC and Bonfils intubation fibrescope: a manikin study. Singapore Med J. 2013;54:64–8.CrossRefPubMed
3.
Piepho T, Noppens RR, Heid F, Werner C, Thierbach AR. Rigid fibrescope Bonfils: use in simulated difficult airway by novices. Scand J Trauma Resusc Emerg Med. 2009;17:33.CrossRefPubMedPubMedCentral
4.
Rudolph C, Schneider JP, Wallenborn J, Schaffranietz L. Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia. 2005;60:668–72.CrossRefPubMed
5.
Shollik NA, Ibrahim SM, Ismael A, Agnoletti V, Piraccini E, Corso RM. Use of the Bonfils Intubation Fiberscope in patients with limited mouth opening. Case Rep Anesthesiol. 2012;2012:297306.PubMedPubMedCentral
6.
Halligan M, Charters P. A clinical evaluation of the Bonfils Intubation Fibrescope. Anaesthesia. 2003;58:1087–91.CrossRefPubMed
7.
Xue FS, Liu HP, Guo XL. Transillumination-assisted endotracheal intubation with the Bonfils Fiberscope. Eur J Anaesthesiol. 2009;26:261–2.CrossRefPubMed
8.
Agro F, Hung OR, Cataldo R, Carassiti M, Gherardi S. Lightwand intubation using the Trachlight: a brief review of current knowledge. Can J Anaesth. 2001;48:592–9.CrossRefPubMed
9.
10.
Byhahn C, Nemetz S, Breitkreutz R, Zwissler B, Kaufmann M, Meininger D. Brief report: tracheal intubation using the Bonfils intubation fibrescope or direct laryngoscopy for patients with a simulated difficult airway. Can J Anaesth. 2008;55:232–7.CrossRefPubMed
11.
Corbanese U, Morossi M. The Bonfils intubation fibrescope: clinical evaluation and consideration of the learning curve. Eur J Anaesthesiol. 2009;26:622–4.CrossRefPubMed
12.
Wahlen BM, Gercek E. Three-dimensional cervical spine movement during intubation using the Macintosh and Bullard laryngoscopes, the bonfils fibrescope and the intubating laryngeal mask airway. Eur J Anaesthesiol. 2004;21:907–13.CrossRefPubMed
13.
Sui JH, Mao P, Liu JH, Tong SY, Wei LX, Yang D, et al. Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight). Acta Anaesthesiol Scand. 2012;56:565–70.CrossRefPubMed
14.
Corbanese U, Possamai C. Re: awake orotracheal intubation with the Bonfils fiberscope in patients with a difficult airway. Eur J Anaesthesiol. 2010;27:311–2.CrossRefPubMed
15.
Boedeker BH, Barak-Bernhagen MA, Miller DJ, Nicholas TA, Linnaus A, Murray WB. Improving rigid fiberoptic intubation: a comparison of the Bonfils Intubating Fiberscope with a novel modification. BMC Emerg Med. 2010;10:11.CrossRefPubMedPubMedCentral
16.
McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 1999;54:444–53.CrossRefPubMed
17.
Christensen AM, Willemoes-Larsen H, Lundby L, Jakobsen KB. Postoperative throat complaints after tracheal intubation. Br J Anaesth. 1994;73:786–7.CrossRefPubMed
18.
Tazeh-Kand NF, Eslami B, Mohammadian K. Inhaled fluticasone propionate reduces postoperative sore throat, cough, and hoarseness. Anesth Analg. 2010;111:895–8.PubMed
19.
20.
Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation: a prospective evaluation. Eur J Anaesthesiol. 2005;22:307–11.CrossRefPubMed
21.
Inoue S, Abe R, Tanaka Y, Kawaguchi M. Tracheal intubation by trainees does not alter the incidence or duration of postoperative sore throat and hoarseness: a teaching hospital-based propensity score analysis. Br J Anaesth. 2015;115:463–9.CrossRefPubMed
22.
Falcetta S, Pecora L, Orsetti G, Gentili P, Rossi A, Gabbanelli V, et al. The Bonfils fiberscope: a clinical evaluation of its learning curve and efficacy in difficult airway management. Minerva Anestesiol. 2012;78:176–84.PubMed
23.
Garcia J, Coste A, Tavares W, Nuno N, Lachapelle K. Assessment of competency during orotracheal intubation in medical simulation. Br J Anaesth. 2015;115:302–7.CrossRefPubMed
Metadata
Title
A comparison of the transillumination-assisted technique versus midline approach technique in novices: a prospective randomized controlled trial about the Bonfils intubation fiberscope
Authors
Jian Wang
Lan Yuan
Guoqiang Fu
Wei Tang
Guijie Yu
Feng Guo
Jiangang Song
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2017
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-017-0322-6

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