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[使用邦菲尔斯插管纤维镜进行光纤插管的临床经验]

[Clinical experiences with fiber optic intubation with the Bonfils intubation fiberscope].

作者信息

Rudolph C, Schlender M

机构信息

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universität Leipzig.

出版信息

Anaesthesiol Reanim. 1996;21(5):127-30.

PMID:9044555
Abstract

In a prospective study 107 patients were analyzed regarding difficulty of intubation. One hundred and three were intubated with the retromolar fibrescope named after Bonfils. The report gives an account of the intubation technique and experiences with this device. Intubations, primarily assumed to be difficult, can be accomplished with its help without any problems. This is especially true in situations, in which the difficulty of intubation is diagnosed only after the induction of anaesthesia and relaxation of the patient. For this technique, a sufficient opening of the mouth for the introduction of the apparatus is necessary. The rigid fibrescope cannot compete with the flexible optic, but supplements the repertoire of aids for difficult intubations. It could open up new areas of indication for safe and gentle intubation.

摘要

在一项前瞻性研究中,对107例患者的插管难度进行了分析。其中103例使用以邦菲尔斯命名的磨牙后纤维喉镜进行插管。该报告介绍了这种设备的插管技术和使用经验。主要被认为插管困难的病例,在该设备的帮助下都能顺利完成插管,没有任何问题。在仅在麻醉诱导和患者放松后才诊断出插管困难的情况下尤其如此。对于这项技术,需要有足够大的开口以便插入设备。刚性纤维喉镜无法与柔性光纤喉镜相媲美,但它补充了困难插管辅助工具的种类。它可能会为安全、轻柔插管开辟新的适应证领域。

相似文献

1
[Clinical experiences with fiber optic intubation with the Bonfils intubation fiberscope].[使用邦菲尔斯插管纤维镜进行光纤插管的临床经验]
Anaesthesiol Reanim. 1996;21(5):127-30.
2
Awake intubation with the Bonfils fibrescope in patients with difficult airway.在气道困难患者中使用邦菲尔斯纤维喉镜进行清醒插管。
Eur J Anaesthesiol. 2009 Oct;26(10):837-41. doi: 10.1097/EJA.0b013e32832c6076.
3
A comparison of the intubating laryngeal mask airway and the Bonfils intubation fibrescope in patients with predicted difficult airways.预测气道困难患者使用插管喉罩气道与邦菲尔斯插管纤维喉镜的比较。
Anaesthesia. 2004 Jul;59(7):668-74. doi: 10.1111/j.1365-2044.2004.03778.x.
4
Tracheal intubation using the Bonfils intubation fibrescope after failed direct laryngoscopy.直接喉镜检查失败后使用邦菲尔斯插管纤维镜进行气管插管。
Anaesthesia. 2004 Dec;59(12):1207-9. doi: 10.1111/j.1365-2044.2004.03967.x.
5
[Use of fiber optics in tracheal intubation].[纤维光学技术在气管插管中的应用]
Anesteziol Reanimatol. 1984 Mar-Apr(2):54-6.
6
Prehospital emergency endotracheal intubation using the Bonfils intubation fiberscope.使用邦菲尔斯插管纤维喉镜进行院前紧急气管插管
Eur J Emerg Med. 2007 Feb;14(1):43-6. doi: 10.1097/01.mej.0000195680.08533.57.
7
Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope.喉镜检查期间上颈椎的活动:邦菲尔斯插管纤维喉镜与麦金托什喉镜的比较
Anaesthesia. 2005 Jul;60(7):668-72. doi: 10.1111/j.1365-2044.2005.04224.x.
8
Clinical uses of the Bonfils Retromolar Intubation Fiberscope: a review.经 Bonfils 磨牙后区导入纤维喉镜的临床应用:综述。
Anesth Analg. 2012 Oct;115(4):855-66. doi: 10.1213/ANE.0b013e318265bae2. Epub 2012 Sep 5.
9
[BONFILS retromolar intubation fiberscope VS styletscope for oro-tracheal intubation].[用于经口气管插管的邦菲尔斯磨牙后插管纤维喉镜与探条喉镜对比]
Masui. 2009 Oct;58(10):1323-7.
10
[Newly developed BONFILS Retromolar Intubation Fiberscope for difficult airway].[新研发的用于困难气道的邦菲尔斯磨牙后插管纤维镜]
Masui. 2006 Apr;55(4):494-8.

引用本文的文献

1
Successful intubation with a flexible optical stylet in a patient with predictors of difficult airway using pharyngeal clearance technique with a laryngoscope: A case report.在一名具有困难气道预测因素的患者中,使用喉镜采用咽腔清理技术,通过可弯曲光导探条成功插管:一例病例报告。
Med Int (Lond). 2025 May 5;5(4):40. doi: 10.3892/mi.2025.239. eCollection 2025 Jul-Aug.
2
Oxygen insufflation working channel in a fiberscope is a useful method: A case report and review of literature.纤维内镜氧气注入工作通道是一种有用的方法:病例报告及文献复习
World J Clin Cases. 2018 Dec 26;6(16):1189-1193. doi: 10.12998/wjcc.v6.i16.1189.
3
Nasal intubation: A comprehensive review.
鼻腔插管:全面综述。
Indian J Crit Care Med. 2016 Nov;20(11):662-667. doi: 10.4103/0972-5229.194013.
4
Awake tracheal intubation in a patient with a supraglottic mass with the Bonfils fibrescope after failed attempts with a flexible fibrescope.在使用软性纤维喉镜插管失败后,使用邦菲尔斯纤维喉镜对一名患有声门上肿物的患者进行清醒气管插管。
Singapore Med J. 2015 Aug;56(8):e139-41. doi: 10.11622/smedj.2015067.
5
Airway obstruction following intubation using a bonfils rigid intubating fiberscope and polyvinylchloride tracheal tube.使用邦菲尔斯硬质插管纤维镜和聚氯乙烯气管导管插管后出现气道梗阻。
J Anaesthesiol Clin Pharmacol. 2013 Apr;29(2):287-9. doi: 10.4103/0970-9185.111752.
6
Awake intubation with Bonfil's retromolar fibroscope in a patient with hard and fixed swelling of the right side of the neck and the tonsillar tumor.在一名右侧颈部坚硬固定肿胀且患有扁桃体肿瘤的患者中,使用邦菲尔磨牙后纤维镜进行清醒插管。
Saudi J Anaesth. 2011 Oct;5(4):423-5. doi: 10.4103/1658-354X.87275.
7
Rigid fibrescope Bonfils: use in simulated difficult airway by novices.硬性纤维喉镜 Bonfils:新手在模拟困难气道中的应用。
Scand J Trauma Resusc Emerg Med. 2009 Jul 22;17:33. doi: 10.1186/1757-7241-17-33.
8
[An unexpected difficult intubation. Bonfils rigid fiberscope].[一例意外的困难插管。邦菲尔斯硬式纤维喉镜]
Anaesthesist. 2005 Jan;54(1):35-40. doi: 10.1007/s00101-004-0772-3.
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[Methods of airway management in prehospital emergency medicine].[院前急救医学中的气道管理方法]
Anaesthesist. 2004 Oct;53(10):978-92. doi: 10.1007/s00101-004-0734-9.