TY - JOUR
AR - GCCR-2019-1-103
TI - Kinking of Disposable Fiberoptic Bronchoscope During Difficult Nasal Awake Intubation
AU - Lauriane, Bordenave
AU - Cyrus, Motamed
AU - Mohamed, Abdellaoui
JO - Global Clinical Case Reports
PY - 2019
DA - Sat 09, Nov 2019
SN - 
DO - http://dx.doi.org/10.31487/j.GCCR.2019.01.03
UR - https://www.sciencerepository.org/kinking-of-disposable-fiberoptic-bronchoscope-during-difficult-nasal-awake-intubation_GCCR-2019-1-103 
KW - disposable fiberscope, difficult intubation, rescue jet ventilation
AB - 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.