Byhahn Christian, Meininger Dirk, Walcher Felix, Hofstetter Christian, Zwissler Bernhard
Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, J.W. Goethe-University Medical School, Frankfurt, Germany.
Eur J Emerg Med. 2007 Feb;14(1):43-6. doi: 10.1097/01.mej.0000195680.08533.57.
Among all prehospital emergency intubations, difficulties occur in 7-10%. Furthermore, intubation conditions often worsen when the cervical spine is immobilized in trauma patients. We report on six patients in whom the Bonfils intubation fiberscope, a reusable, rigid fiberoptic device, was used for emergency endotracheal intubation in the field. Three of these patients had an anticipated or unanticipated difficult airway: two trauma patients with immobilized cervical spine and one patient in cardiac arrest in whom direct laryngoscopy failed twice. Endotracheal intubation with the Bonfils intubation fiberscope was successful in all cases in the first attempt. The Bonfils intubation fiberscope therefore demonstrated its value as an additional airway management device in both emergency and prehospital settings.
在所有院前紧急气管插管中，困难插管的发生率为7%至10%。此外，在创伤患者中，当颈椎固定时，插管条件往往会恶化。我们报告了6例使用邦菲尔斯插管纤维镜（一种可重复使用的刚性光纤设备）在现场进行紧急气管插管的患者。其中3例患者存在预期或意外的困难气道：2例颈椎固定的创伤患者和1例心脏骤停患者，直接喉镜检查失败了两次。使用邦菲尔斯插管纤维镜进行气管插管在所有病例中首次尝试均成功。因此，邦菲尔斯插管纤维镜在紧急情况和院前环境中均显示出其作为额外气道管理设备的价值。
