Kinking of Disposable Fiberoptic Bronchoscope During Difficult Nasal Awake Intubation

Author Info

Lauriane Bordenave Cyrus Motamed Mohamed Abdellaoui

Corresponding Author

Cyrus Motamed
Department of anesthesia, Gustaveroussy cancer campus institute, Villejuif France

A B S T R A C T

Background: disposable fiberoptic for intubation are more and more available in operating room We hereby report a complication of a difficult fiberoptic intubation performed with a disposable fiberscope. Case: Under remifentanil sedation Visualizing the glottis was easy while advancing the endotracheal tube through the fiberscope was mildly difficult. Removing the fiberscope was impossible as was the removal of the endotracheal tube. The patient was becoming uncomfortable. Under local anesthesia we performed a jet ventilation after puncture of the cricothyroid membrane followed by total intravenous anesthesia. A cervicofacial surgeon visualized the kinking of the fiberscope at the tip of the endotracheal tube. The fiberscope was removed under direct vision with a rigid bronchoscope. Conclusion: Because of more flexibility disposable fiberscopes may kink during the introduction of the endotracheal tube.

Article Info

Article Type

Case Report

Publication history

Received: Wed 21, Aug 2019
Accepted: Tue 08, Oct 2019
Published: Sat 09, Nov 2019

Copyright

© 2023 Cyrus Motamed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.GCCR.2019.01.03