Awake tracheal intubation in a patient with a supraglottic mass with the Bonfils fibrescope after failed attempts with a flexible fibrescope

Singapore Med J. 2015 Aug;56(8):e139-41. doi: 10.11622/smedj.2015067.

Abstract

Awake intubation with a flexible fibrescope is usually done electively in patients with a known difficult airway. Herein, we describe the case of an elective awake tracheal intubation that was performed on a patient with a large, obstructive supraglottic mass. The intubation was successfully performed using the Bonfils fibrescope after several failed attempts with a flexible fibrescope. This case highlights the usefulness of the Bonfils fibrescope and the limitations of the flexible fibrescope in certain clinical situations.

Keywords: Bonfils; difficult airway; flexible fibrescope; oropharyngeal cancer.

Publication types

  • Case Reports

MeSH terms

  • Fiber Optic Technology*
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Intubation, Intratracheal / methods*
  • Laryngeal Neoplasms / diagnosis*
  • Laryngoscopes*
  • Laryngoscopy / instrumentation
  • Male
  • Middle Aged
  • Trachea
  • Tracheostomy / methods
  • Wakefulness*