A comparison of the transillumination-assisted technique versus midline approach technique in novices: a prospective randomized controlled trial about the Bonfils intubation fiberscope

BMC Anesthesiology

Research Article

Lan Yuan¹  Guijie Yu¹  Jian Wang¹  Guoqiang Fu¹  Wei Tang¹  Feng Guo¹  Jiangang Song¹ 

[1] Department of Anesthesiology, Shanghai Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 201203, Shanghai, China;

关键词: Bonfils intubation fiberscope;    Tracheal intubation;    Transillumination-assisted technique;   

DOI  :  10.1186/s12871-017-0322-6

 received in 2016-07-21, accepted in 2017-02-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe present study aimed to compare the safety and efficacy for novices to conduct intubation with the Bonfils intubation fiberscope (BIF) using the transillumination-assisted or midline approach technique in patients with normal airways.MethodsIn this prospective randomized control study, 10 trainees were assigned to the transillumination-assisted technique group (T group) or the midline approach technique group (R group). Each trainee was required to conduct intubation in 50 patients. The primary outcome was intubation time. The secondary outcomes were success rate (%), number of attempts, and complications.ResultsAmong the cases of successful intubation, the intubation time was not significantly different between the two groups (P > 0.05). The overall success rate of intubation was not significantly different between the two groups (P > 0.05). The intubation success rates at the first, second, and third attempts as well as the average intubation times were similar between the two groups (P > 0.05), but in patients receiving successful intubation at the second attempt, the intubation time was longer in the T group (P = 0.0006). The incidences of dry throat, sore throat, and hoarseness were higher in the T group (all P < 0.05).ConclusionsFor patients with a normal airway, the transillumination-assisted technique was unlikely to increase the success rate of intubation with the BIF compared with the midline approach technique, but led to more complications.Trial registrationChiCTR-INR-16009967, retrospectively registered on November 22, 2016

【 授权许可】

CC BY   
© The Author(s). 2017

【 图 表 】

Fig. 2