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CASE REPORT
Year : 2014  |  Volume : 30  |  Issue : 4  |  Page : 568-570

Bonfils assisted double lumen endobronchial tube placement in an anticipated difficult airway


1 Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
2 Anaesthesiology, Singapore General Hospital, Singapore

Correspondence Address:
Sudhakar Subramani
Department of Anesthesia, University of Iowa Hospitals & Clinics, Iowa City, IA -52246
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.142867

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The role of various airway adjuncts in the management of difficult airway has been described in the literature. Bonfils rigid fiberscope is one of the airway assist devices widely used for endotracheal intubation in the individuals with cervical instability warranting limited neck movements. With our experience in the utilization of Bonfils for single lumen endotracheal tube placement, we are increasingly using for double lumen endobronchial (DLT) intubation as well. We would like to describe our experience in the use of Bonfils for DLT placement and outline the merits and limitations of the other suitable airway assist devices in this report. The double lumen tube has to be modified by decreasing the length of DLT to accommodate the Bonfils fiberscope and this is applicable only in certain type of double lumen tubes for e.g. Bronchocath.


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