Document Detail

A comparison of the intubating laryngeal mask airway and the Bonfils intubation fibrescope in patients with predicted difficult airways.
MedLine Citation:
PMID:  15200542     Owner:  NLM     Status:  MEDLINE    
Tracheal intubation with the intubating laryngeal mask airway or the Bonfils intubation fibrescope was performed in 80 patients with predicted difficult airways. Mallampati score, thyromental distance, mouth opening and mobility of the atlanto-occipital joint were used to predict difficult airways. The overall success rate, time to the first adequate lung ventilation and time taken for the successful placement of the tracheal tube were recorded, as well as a subjective assessment of the handling of the device and the incidence of postoperative sore throat and hoarseness. The median [range] time to the first adequate ventilation was significantly shorter with the intubating laryngeal mask airway than with the Bonfils intubation fibrescope (28 [6-85] s vs. 40 [23-77] s, p < 0.005). Tracheal intubation was significantly slower with the intubating laryngeal mask airway than with the Bonfils intubation fibrescope (76 [45-155] s vs. 40 [23-77] s, p < 0.0001. Patients in the Bonfils group suffered less sore throat and hoarseness than those in the other group.
B Bein; F Worthmann; J Scholz; F Brinkmann; P H Tonner; M Steinfath; V Dörges
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  59     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-06-17     Completed Date:  2004-08-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  668-74     Citation Subset:  AIM; IM    
Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 21, D-24105 Kiel, Germany.
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MeSH Terms
Aged, 80 and over
Fiber Optic Technology / instrumentation*
Hoarseness / etiology
Intubation, Intratracheal / adverse effects,  instrumentation*
Laryngeal Masks / adverse effects
Middle Aged
Pharyngitis / etiology
Prospective Studies
Time Factors
Comment In:
Anaesthesia. 2005 Feb;60(2):202-3; author reply 203   [PMID:  15644024 ]

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