Novel stabilization technique for insertion of Bonfils intubating endoscope: the “pool cue” grip

Editor—The Bonfils Intubating endoscope is a useful adjunct when managing anticipated and unanticipated difficult airways.¹ It is a sturdy, versatile, portable and easy to clean device. However recent guidelines have suggested that this and similar devices be used in the unanticipated difficult airway only by experienced users.² The Bonfils endoscope is generally considered to have a steep learning curve of approximately twenty patients.¹³ We describe the "pool cue" grip, a technique that we use as part of our standard Bonfil insertion and teaching method.

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