ORIGINAL ARTICLE

Bonfils intubation fiberscope versus C-MAC videolaryngoscope: hemodynamic stability and incidence of sore throat in endotracheal intubated patients

Tjokorda Gde Agung Senapathi, Made Wiryana, I Gusti Ngurah Mahaalit Aribawa, Andre Van Zundert, Otniel Adrians Labobar

Tjokorda Gde Agung Senapathi
Anesthesiology and Intensive Care Department, Udayana University, Sanglah General Hospital, Denpasar, Bali

Made Wiryana
Anesthesiology and Intensive Care Department, Udayana University, Sanglah General Hospital, Denpasar, Bali

I Gusti Ngurah Mahaalit Aribawa
Anesthesiology and Intensive Care Department, Udayana University, Sanglah General Hospital, Denpasar, Bali

Andre Van Zundert
Anesthesiology and Intensive Care Department, Udayana University, Sanglah General Hospital, Denpasar, Bali

Otniel Adrians Labobar
Anesthesiology and Intensive Care Department, Udayana University, Sanglah General Hospital, Denpasar, Bali. Email: othiesbius@gmail.com
Online First: May 01, 2017 | Cite this Article
Senapathi, T., Wiryana, M., Aribawa, I., Van Zundert, A., Labobar, O. 2017. Bonfils intubation fiberscope versus C-MAC videolaryngoscope: hemodynamic stability and incidence of sore throat in endotracheal intubated patients. Bali Medical Journal 6(2): 247-250. DOI:10.15562/bmj.v6i2.565


Introduction: Hemodynamic stability at laryngoscopic intubation is influenced by mechanical stimuli on the affected area of the oropharynx. The use of appropriate tools can lower mechanical stimuli and lead to a better outcome. The purpose of this study was to determine whether the use of Bonfils intubation fiberscope provided a better hemodynamic stability, and decreased the incidence of a sore throat compared to Macintosh videolaryngoscope. Materials and Methods: We conducted a non-blind randomized controlled trial. It was conducted at Sanglah Hospital, Indonesia, in September to October 2016 with a sample of 50 people. The sample was divided into two groups. The patients were induced by propofol TCI target effect 4 µg/ml and analgesia with fentanyl 2 mcg/kg. Hemodynamic conditions assessed since the induction, one minute before intubation, and one minute, three minutes, and five minutes after laryngoscopy intubation. A sore throat was evaluated before and after treatment. Results: The MAP value and pulse rate in one minute and three minutes after laryngoscopy intubation in CMAC group were significantly higher compared to Bonfils group (p<0.001). The proportion of a postoperative sore throat is significantly different between the two groups (p=0.042). Conclusion: Bonfils intubation fiberscope proved better in providing hemodynamic stability and decreased the incidence of a sore throat compared to Macintosh videolaryngoscope in patients underwent general anesthesia. 

References

Peppard SB, Dickens JH. Laryngeal injury following short-term intubation. Ann Otol Rhinol Laryngol; 1983,92:327-30.

Kitamura T, Yamada Y, Chinzei M, Du HL, Hanaoka K. Attenuation of Haemodynamic responses to Tracheal Intubation by the StyletScope. Br J Anaesth; 2001, 86(2): 275-277.

Najafi A, Rahimi E, Moharari RS, Zahid HK. Bonfils Fiberscope : Intubating Conditions and hemodynamic changes without Neuromuscular Blockade. Acta Med Iran ; 2011, 49 (4) : 201-207.

Cavus E, Kieckhaefer J, Doerges V, Moeller T, Thee C, Wagner K. The C-MAC Videolaryngoscope : First Experiances with a new device for videolaryngoscopy-guided intubation. Anesth Analg; 2010, 110 (2) : 473-477.

Jungbauer A, Schumann M, Brunkhorst V, Borgers A, Groeben H. Expected Difficult Tracheal Intubation : A Prospective Comparison of Direct Laryngoscopy and Video Laryngoscopy in 200 patients. Br J Anaesth; 2009, 102(4):546 – 550.

Halligan M, Charters P. A Clinical Evaluation of The Bonfils Intubation Fiberscope. Anaesthesia; 2003, 58:1087-1091.

Ghoneim S, Sadek M. Machintosh laryngoscope versus bonfils intubation endoscopes in endotracheal intubation : Hemodynamic, intra-ocular pressure and serum catecholamine responses. Egyptian Journal of Anaesthesia; 2014, 29:67-70.

Boker A, Almarakbi WA, Arab AA, Almazrooa AA. Reduced Hemodynamic responses to Tracheal Intubation by The Bonfils Retromolar Fiberscope : A Randomized Controlled Study. MEJ Anesth; 2011, 21 (3): 385-389.

Abdullah HR, Ming T, Marriot A, Wong TG. A Comparison Between the Bonfils Intubation Fiberscope nd Mc Coy Larngoscope for Tracheal Intubation in Patients with a Simulated Difficult Airway.

Simmons, S.T., Schleich, A.R. Airway Regional Anesthesia for Awake Fiberoptic Intubation. Regional Anesthesia and pain medicine; 2002, 27 (2):180-192.

Najafi A, Imani F, Makarem J, Khajavi M, Etezadi F, Habibi S, Moharari R. Postoperative Sore Throat After Laryngoscopy With Macintosh or Glide Scope Video Laryngoscope Blade in Normal Airway Patients. Anesth Pain Med; 2014, 4 (1):e15136.


No Supplimentary Material available for this article.
Article Views      : 108
PDF Downloads : 47