Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight)
Background Because the Bonfils fibrescope has a semi‐rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination‐assisted orotracheal intubation with the Bonfils fibrescope and the TrachlightTM lightwand in patients with normal airw...
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| Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2012-05, Vol.56 (5), p.565-570 |
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| creator | SUI, J.-H. MAO, P. LIU, J.-H. TONG, S.-Y. WEI, L.-X. YANG, D. DENG, X.-M. |
| description | Background
Because the Bonfils fibrescope has a semi‐rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination‐assisted orotracheal intubation with the Bonfils fibrescope and the TrachlightTM lightwand in patients with normal airways.
Methods
As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single‐blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination‐assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded.
Results
Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P |
| doi_str_mv | 10.1111/j.1399-6576.2011.02627.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_993907755</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3068991991</sourcerecordid><originalsourceid>FETCH-LOGICAL-i3607-59fc3ee32d37d53bfbbe2e817c980159972f0240014775244ea02620e3bbd4523</originalsourceid><addsrcrecordid>eNpdkV-LEzEUxYMobnf1K0hARH2YMX8njeBDt6yrsCpoVfAlZGYyNjUzqckM2_32Jm2tYF6Sy_mdm-QeACBGJU7r1abEVMqi4qIqCcK4RKQiotzdA7OTcB_MEEK44FiQM3Ae4yaVlEn5EJwRwuZSSjwDu1XQQ7TOTb0d9Gj9UOgYbRxNC33wY9DN2mgH7TBO9V5_DTVsfL_VwUY_QN_BcW3gpR866yLsbB1MbPzWQD20e8nZn-vxNlcvVrndvn75CDzotIvm8XG_AF_fXq2W74qbT9fvl4ubwtIKiYLLrqHGUNJS0XJad3VtiJlj0cg5wlxKQTpEWPooE4ITxozOs0CG1nXLOKEX4Pmh7zb435OJo-ptbIxzejB-ikpKKlGy8kQ-_Y_c-CkM6XEKM4o5miMpEvXkSE11b1q1DbbX4U79HWkCnh0BHRvtujTfxsZ_HBcEEZKve3Pgbq0zdycdI5UjVhuVk1Q5SZUjVvuI1U4tFl_yKfmLgz-HtTv5dfilKkEFV98_Xiv2mV1-W_5Yqg_0D40EqK4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1431508097</pqid></control><display><type>article</type><title>Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight)</title><source>MEDLINE</source><source>Wiley Journals</source><creator>SUI, J.-H. ; MAO, P. ; LIU, J.-H. ; TONG, S.-Y. ; WEI, L.-X. ; YANG, D. ; DENG, X.-M.</creator><creatorcontrib>SUI, J.-H. ; MAO, P. ; LIU, J.-H. ; TONG, S.-Y. ; WEI, L.-X. ; YANG, D. ; DENG, X.-M.</creatorcontrib><description>Background
Because the Bonfils fibrescope has a semi‐rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination‐assisted orotracheal intubation with the Bonfils fibrescope and the TrachlightTM lightwand in patients with normal airways.
Methods
As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single‐blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination‐assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded.
Results
Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P < 0.05). The mean intubation time for the first attempt was 15 ± 5 s with the Bonfils fibrescope and 9 ± 2 s with the Trachlight (P < 0.001). Patients intubated using the Bonfils fibrescope also experienced significantly more sore throat and hoarseness than those intubated using the Trachlight.
Conclusions
For patients with normal airways, the Trachlight is superior for orotracheal intubation with respect to reliability, rapidity, and safety compared with the Bonfils fibrescope used with the transillumination technique.</description><identifier>ISSN: 0001-5172</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/j.1399-6576.2011.02627.x</identifier><identifier>PMID: 22489991</identifier><identifier>CODEN: AANEAB</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adult ; Anesthesia ; Anesthesia, General ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Inhalation ; Biological and medical sciences ; Female ; Fiber Optic Technology ; Hoarseness - epidemiology ; Humans ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - methods ; Laryngoscopes ; Male ; Medical sciences ; Monitoring, Intraoperative ; Mouth - anatomy & histology ; Nitrous Oxide ; Pharyngitis - epidemiology ; Postoperative Complications - epidemiology ; Surgery, Plastic ; Transillumination ; Treatment Outcome</subject><ispartof>Acta anaesthesiologica Scandinavica, 2012-05, Vol.56 (5), p.565-570</ispartof><rights>2012 The Authors. Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation</rights><rights>2015 INIST-CNRS</rights><rights>2012 The Authors. Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation.</rights><rights>Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-6576.2011.02627.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-6576.2011.02627.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25720225$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22489991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SUI, J.-H.</creatorcontrib><creatorcontrib>MAO, P.</creatorcontrib><creatorcontrib>LIU, J.-H.</creatorcontrib><creatorcontrib>TONG, S.-Y.</creatorcontrib><creatorcontrib>WEI, L.-X.</creatorcontrib><creatorcontrib>YANG, D.</creatorcontrib><creatorcontrib>DENG, X.-M.</creatorcontrib><title>Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight)</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background
Because the Bonfils fibrescope has a semi‐rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination‐assisted orotracheal intubation with the Bonfils fibrescope and the TrachlightTM lightwand in patients with normal airways.
Methods
As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single‐blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination‐assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded.
Results
Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P < 0.05). The mean intubation time for the first attempt was 15 ± 5 s with the Bonfils fibrescope and 9 ± 2 s with the Trachlight (P < 0.001). Patients intubated using the Bonfils fibrescope also experienced significantly more sore throat and hoarseness than those intubated using the Trachlight.
Conclusions
For patients with normal airways, the Trachlight is superior for orotracheal intubation with respect to reliability, rapidity, and safety compared with the Bonfils fibrescope used with the transillumination technique.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia, General</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Inhalation</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fiber Optic Technology</subject><subject>Hoarseness - epidemiology</subject><subject>Humans</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - methods</subject><subject>Laryngoscopes</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Monitoring, Intraoperative</subject><subject>Mouth - anatomy & histology</subject><subject>Nitrous Oxide</subject><subject>Pharyngitis - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Surgery, Plastic</subject><subject>Transillumination</subject><subject>Treatment Outcome</subject><issn>0001-5172</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV-LEzEUxYMobnf1K0hARH2YMX8njeBDt6yrsCpoVfAlZGYyNjUzqckM2_32Jm2tYF6Sy_mdm-QeACBGJU7r1abEVMqi4qIqCcK4RKQiotzdA7OTcB_MEEK44FiQM3Ae4yaVlEn5EJwRwuZSSjwDu1XQQ7TOTb0d9Gj9UOgYbRxNC33wY9DN2mgH7TBO9V5_DTVsfL_VwUY_QN_BcW3gpR866yLsbB1MbPzWQD20e8nZn-vxNlcvVrndvn75CDzotIvm8XG_AF_fXq2W74qbT9fvl4ubwtIKiYLLrqHGUNJS0XJad3VtiJlj0cg5wlxKQTpEWPooE4ITxozOs0CG1nXLOKEX4Pmh7zb435OJo-ptbIxzejB-ikpKKlGy8kQ-_Y_c-CkM6XEKM4o5miMpEvXkSE11b1q1DbbX4U79HWkCnh0BHRvtujTfxsZ_HBcEEZKve3Pgbq0zdycdI5UjVhuVk1Q5SZUjVvuI1U4tFl_yKfmLgz-HtTv5dfilKkEFV98_Xiv2mV1-W_5Yqg_0D40EqK4</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>SUI, J.-H.</creator><creator>MAO, P.</creator><creator>LIU, J.-H.</creator><creator>TONG, S.-Y.</creator><creator>WEI, L.-X.</creator><creator>YANG, D.</creator><creator>DENG, X.-M.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight)</title><author>SUI, J.-H. ; MAO, P. ; LIU, J.-H. ; TONG, S.-Y. ; WEI, L.-X. ; YANG, D. ; DENG, X.-M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3607-59fc3ee32d37d53bfbbe2e817c980159972f0240014775244ea02620e3bbd4523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia, General</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Inhalation</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Fiber Optic Technology</topic><topic>Hoarseness - epidemiology</topic><topic>Humans</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - methods</topic><topic>Laryngoscopes</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Monitoring, Intraoperative</topic><topic>Mouth - anatomy & histology</topic><topic>Nitrous Oxide</topic><topic>Pharyngitis - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Surgery, Plastic</topic><topic>Transillumination</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SUI, J.-H.</creatorcontrib><creatorcontrib>MAO, P.</creatorcontrib><creatorcontrib>LIU, J.-H.</creatorcontrib><creatorcontrib>TONG, S.-Y.</creatorcontrib><creatorcontrib>WEI, L.-X.</creatorcontrib><creatorcontrib>YANG, D.</creatorcontrib><creatorcontrib>DENG, X.-M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SUI, J.-H.</au><au>MAO, P.</au><au>LIU, J.-H.</au><au>TONG, S.-Y.</au><au>WEI, L.-X.</au><au>YANG, D.</au><au>DENG, X.-M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight)</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2012-05</date><risdate>2012</risdate><volume>56</volume><issue>5</issue><spage>565</spage><epage>570</epage><pages>565-570</pages><issn>0001-5172</issn><eissn>1399-6576</eissn><coden>AANEAB</coden><abstract>Background
Because the Bonfils fibrescope has a semi‐rigid optical stylet and is similar in shape to a lightwand, we aimed to evaluate and compare the efficacy of transillumination‐assisted orotracheal intubation with the Bonfils fibrescope and the TrachlightTM lightwand in patients with normal airways.
Methods
As a preliminary investigation to form a basis for later studies, therefore, we performed a randomized, single‐blind study of 300 patients with normal airways to compare the efficiency of Trachlight and transillumination‐assisted Bonfils orotracheal intubation in these patients. In both groups, orotracheal intubation was performed using a transillumination technique. The first attempt and overall success rates of tracheal intubation, the times required, and any untoward effects were recorded.
Results
Although the overall success rates were similar for Bonfils and Trachlight intubations (97.3% and 98.7%, respectively), tracheal intubation was successful on the first attempt in 87.3% of patients with the Bonfils fibrescope compared with 95.3% of patients with the Trachlight (P < 0.05). The mean intubation time for the first attempt was 15 ± 5 s with the Bonfils fibrescope and 9 ± 2 s with the Trachlight (P < 0.001). Patients intubated using the Bonfils fibrescope also experienced significantly more sore throat and hoarseness than those intubated using the Trachlight.
Conclusions
For patients with normal airways, the Trachlight is superior for orotracheal intubation with respect to reliability, rapidity, and safety compared with the Bonfils fibrescope used with the transillumination technique.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>22489991</pmid><doi>10.1111/j.1399-6576.2011.02627.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Acta anaesthesiologica Scandinavica, 2012-05, Vol.56 (5), p.565-570 |
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| subjects | Adult Anesthesia Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Inhalation Biological and medical sciences Female Fiber Optic Technology Hoarseness - epidemiology Humans Intubation, Intratracheal - adverse effects Intubation, Intratracheal - methods Laryngoscopes Male Medical sciences Monitoring, Intraoperative Mouth - anatomy & histology Nitrous Oxide Pharyngitis - epidemiology Postoperative Complications - epidemiology Surgery, Plastic Transillumination Treatment Outcome |
| title | Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight) |
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