{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:33:47Z","timestamp":1756312427730},"reference-count":5,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T00:00:00Z","timestamp":1368403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2013,7]]},"abstract":"Summary<\/jats:title>We report the successful use of a 2\u2010mm rigid B<\/jats:styled-content>onfils intubation endoscope as a rescue device in a 5\u2010week\u2010old baby presenting with an unstable airway due to massive macroglossia and multiple hemorrhagic lymphangiomata compressing the airway and resulting in a C<\/jats:styled-content>ormack and L<\/jats:styled-content>ehane grade 4 view. The limited intraoral space rendered it impossible to visualize the laryngeal inlet or insert a laryngeal mask, G<\/jats:styled-content>lidescope or A<\/jats:styled-content>irtraq blade into the patient's mouth. A 2\u2010mm B<\/jats:styled-content>onfils fibrescope passed easily into the patient's mouth and facilitated a grade 1 view of the laryngeal inlet with subsequent successful intubation at first attempt with a 3.5\u2010mm uncuffed endotracheal tube. There are very few alternatives to rescue such an airway in this age group with this type of pathology and surgical intervention would have been difficult due to the vascular nature of the lesion. B<\/jats:styled-content>onfils intubation endoscopes (K<\/jats:styled-content>arl S<\/jats:styled-content>torz E<\/jats:styled-content>ndoscopy, T<\/jats:styled-content>uttlingen, G<\/jats:styled-content>ermany) are a series of reusable devices consisting of a rigid metal tube with a fixed 40\u00b0 anterior tip curvature containing a fibreoptic bundle. They are available in three sizes with outside diameters of 2, 3.5, or 5\u00a0mm. The advantage of the pediatric 2\u2010mm B<\/jats:styled-content>onfils fibrescope is that it allows intubation with a 2.5\u2010mm endotracheal tube. There is a paucity of the literature pertaining to the use of the B<\/jats:styled-content>onfils endoscope as a rescue device for intubation of small infants and neonates. In our case, the infant's airway was compromised as a result of a receding mandible, large protruding tongue, glottic distortion, and limited intraoral space. This prevented the use of bulkier rescue airway devices with the potential for traumatic manipulation, which could have lead to rapid deterioration of an already unstable airway. We feel that many clinicians are unaware of the benefits of the B<\/jats:styled-content>onfils fibrescope and suggest further studies to increase its use in elective and emergency situations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12171","type":"journal-article","created":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T13:56:00Z","timestamp":1368453360000},"page":"670-672","source":"Crossref","is-referenced-by-count":9,"title":["Use of the B<\/scp>onfils intubating fibrescope in a baby with a severely compromised airway"],"prefix":"10.1111","volume":"23","author":[{"given":"Priya L.","family":"Krishnan","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Evelina Children's Hospital Guys and St Thomas' NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd H.","family":"Thiessen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Evelina Children's Hospital Guys and St Thomas' NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,13]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"363","article-title":"Difficult intubation in Pierre\u2010Robin children, a new method: the retromolar route","volume":"32","author":"Bonfils P","year":"1983","journal-title":"Anaesthesist"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02768.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03298.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02595.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2009.03206.x"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.12171","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.12171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T01:38:23Z","timestamp":1694655503000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.12171"}},"subtitle":[],"editor":[{"given":"David","family":"Polaner","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2013,5,13]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1111\/pan.12171"],"URL":"https:\/\/doi.org\/10.1111\/pan.12171","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,13]]}}}