Skip to main content Skip to main navigation menu Skip to site footer

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

Abstract

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

  1. Peppard SB, Dickens JH. Laryngeal injury following short-term intubation. Ann Otol Rhinol Laryngol; 1983,92:327-30.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Halligan M, Charters P. A Clinical Evaluation of The Bonfils Intubation Fiberscope. Anaesthesia; 2003, 58:1087-1091.
  7. 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.
  8. 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.
  9. 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.
  10. Simmons, S.T., Schleich, A.R. Airway Regional Anesthesia for Awake Fiberoptic Intubation. Regional Anesthesia and pain medicine; 2002, 27 (2):180-192.
  11. 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.

How to Cite

Senapathi, T. G. A., Wiryana, M., Aribawa, I. G. N. M., Van Zundert, A., & Labobar, O. A. (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. https://doi.org/10.15562/bmj.v6i2.565

HTML
0

Total
1

Share

Search Panel

Tjokorda Gde Agung Senapathi
Google Scholar
Pubmed
BMJ Journal


Made Wiryana
Google Scholar
Pubmed
BMJ Journal


I Gusti Ngurah Mahaalit Aribawa
Google Scholar
Pubmed
BMJ Journal


Andre Van Zundert
Google Scholar
Pubmed
BMJ Journal


Otniel Adrians Labobar
Google Scholar
Pubmed
BMJ Journal